606 – Clinical Characteristics of Patients with Suicide Attempts in Emergency Hospital

Abstract

Introduction:

Suicidal rating Russia is one of the highest in the world. Only few publications are devoted to psychopathological characteristics of suicide subjects in emergency hospital.

Objectives:

Clinical characteristics of emergency hospital patients with suicide attempts were studied.

Methods:

Interview together with specially elaborated formalized card were used. Patients were diagnosed up to ICD-10 criteria. 970 patients (320 male, 650 female; mean age - 40±16) hospitalized to I.I. Dzhanelidze Institute of Emergency Medical Care (St. Petersburg) in 2011 due to the suicide attempt were investigated.

Results:

The majority of patients were diagnosed as anxiety disorders (35,5%) and substance use disorders (SUD) (30,8%). Affective disorders (F30-F39) were diagnosed in 90 (9,3%), and schizophrenia in 4,1% cases. Self-poisoning was found the absolutely preponderant (87,1%) suicide mode. Chemical substances were used in 3,7%, psychoactive drugs in 2,1%, other medical products in 81,3%. Blood alcohol level higher than 1 ‰ was found in 45,2% patients. Suicidal patients have demonstrated low psychosocial level. Fulltime employment and permanent income was only in 20,8%. The first hospital care was carried out by resuscitators, surgeons, toxicologists, etc. After their recommendations patients were consulted by psychiatrist or psychotherapist.

Outcomes:

70,2% were discharged, in 13,6% out-patient psychiatrist supervision was recommended, 10,4% were transferred to psychiatric hospital, 5,8% died.

Conclusions:

The majority of suicidal patients in emergency hospital have anxiety disorders or SUD and used self-poisoning mode. Alcohol as a provoking factor was found in nearly half of subjects.