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Psychiatric Hospitalization after Deliberate Self‐Poisoning
Author(s) -
Carter Gregory L.,
Safranko Ivan,
Lewin Terry J.,
Whyte Ian M.,
Bryant Jennifer L.
Publication year - 2006
Publication title -
suicide and life‐threatening behavior
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.544
H-Index - 90
eISSN - 1943-278X
pISSN - 0363-0234
DOI - 10.1521/suli.2006.36.2.213
Subject(s) - psychiatry , medicine , suicidal ideation , cohort , logistic regression , psychiatric hospital , delirium , mood , poison control , suicide prevention , emergency medicine
The decision for psychiatric hospitalization after deliberate self‐poisoning (DSP) is not well understood. This study, a longitudinal cohort study of 3,148 consecutive DSP patients found 920 (29.2%) subjects were referred for psychiatric hospitalization, 576 (18.3%) on involuntary basis. A logistic regression analysis showed increased risk for: age 25 or older, homelessness, unemployment, previous self‐harm, psychiatric inpatient treatment within 12 months, earlier psychiatric inpatient treatment, suicidal ideation or plan, mood or psychotic disorders, and lower clinician experience; and lower risk for being married/defacto, and after hours presentation. Recommendation for psychiatric hospitalization was based on complex decision making. These findings have implications for clinical practice guidelines, service costs, and service organization.