Suicide-related crisis presentations to a rural emergency department: A retrospective cohort study
Objective The study sought to investigate the profile and characteristics of suicide-related crisis presentations and factors associated with repeat presentations to a rural hospital Emergency Department (ED). Method This retrospective cohort study examined suicide-related crisis presentation data f...
Published in: | Australasian Psychiatry |
---|---|
Main Authors: | , , , , , , , |
Other Authors: | |
Format: | Article in Journal/Newspaper |
Language: | English |
Published: |
SAGE Publications
2022
|
Subjects: | |
Online Access: | http://dx.doi.org/10.1177/10398562211067195 http://journals.sagepub.com/doi/pdf/10.1177/10398562211067195 http://journals.sagepub.com/doi/full-xml/10.1177/10398562211067195 |
id |
crsagepubl:10.1177/10398562211067195 |
---|---|
record_format |
openpolar |
spelling |
crsagepubl:10.1177/10398562211067195 2023-05-15T16:16:36+02:00 Suicide-related crisis presentations to a rural emergency department: A retrospective cohort study MacDermott, Sean Sutton, Keith Motorniak, David Bredhauer, Jacqueline Wright, Fiona Whyte, Merryl van Vuuren, Julia Spelten, Evelien Murray Primary Health Network 2022 http://dx.doi.org/10.1177/10398562211067195 http://journals.sagepub.com/doi/pdf/10.1177/10398562211067195 http://journals.sagepub.com/doi/full-xml/10.1177/10398562211067195 en eng SAGE Publications http://journals.sagepub.com/page/policies/text-and-data-mining-license Australasian Psychiatry page 103985622110671 ISSN 1039-8562 1440-1665 Psychiatry and Mental health journal-article 2022 crsagepubl https://doi.org/10.1177/10398562211067195 2022-04-14T04:38:45Z Objective The study sought to investigate the profile and characteristics of suicide-related crisis presentations and factors associated with repeat presentations to a rural hospital Emergency Department (ED). Method This retrospective cohort study examined suicide-related crisis presentation data from a rural ED for the years 2008–2018 inclusive. Descriptive statistical analyses included demographic characteristics and trends over time. Factors associated with increased likelihood to re-present to the ED for suicide-related crisis were identified using Odds Ratio analyses. Results First Nations People, adolescents and young adults were at increased risk of presentation. Suicidal crisis presentations had increased well beyond that which might be accorded to the catchment’s population increase and almost a third of presentations involved individuals re-presenting in suicide-related crisis. Repeat presentation was positively associated with younger age, less acute triage category, discharge to the community and leaving the ED before/during treatment. Conclusions This study illustrates the importance of flagging, follow-up and support of rural repeat presenters to reduce further suicidal behaviours and presentation. Findings support the need for culturally safe and appropriate interventions and follow-up services. It is recommended to extend approach this to non-ED settings. Article in Journal/Newspaper First Nations SAGE Publications (via Crossref) Australasian Psychiatry 103985622110671 |
institution |
Open Polar |
collection |
SAGE Publications (via Crossref) |
op_collection_id |
crsagepubl |
language |
English |
topic |
Psychiatry and Mental health |
spellingShingle |
Psychiatry and Mental health MacDermott, Sean Sutton, Keith Motorniak, David Bredhauer, Jacqueline Wright, Fiona Whyte, Merryl van Vuuren, Julia Spelten, Evelien Suicide-related crisis presentations to a rural emergency department: A retrospective cohort study |
topic_facet |
Psychiatry and Mental health |
description |
Objective The study sought to investigate the profile and characteristics of suicide-related crisis presentations and factors associated with repeat presentations to a rural hospital Emergency Department (ED). Method This retrospective cohort study examined suicide-related crisis presentation data from a rural ED for the years 2008–2018 inclusive. Descriptive statistical analyses included demographic characteristics and trends over time. Factors associated with increased likelihood to re-present to the ED for suicide-related crisis were identified using Odds Ratio analyses. Results First Nations People, adolescents and young adults were at increased risk of presentation. Suicidal crisis presentations had increased well beyond that which might be accorded to the catchment’s population increase and almost a third of presentations involved individuals re-presenting in suicide-related crisis. Repeat presentation was positively associated with younger age, less acute triage category, discharge to the community and leaving the ED before/during treatment. Conclusions This study illustrates the importance of flagging, follow-up and support of rural repeat presenters to reduce further suicidal behaviours and presentation. Findings support the need for culturally safe and appropriate interventions and follow-up services. It is recommended to extend approach this to non-ED settings. |
author2 |
Murray Primary Health Network |
format |
Article in Journal/Newspaper |
author |
MacDermott, Sean Sutton, Keith Motorniak, David Bredhauer, Jacqueline Wright, Fiona Whyte, Merryl van Vuuren, Julia Spelten, Evelien |
author_facet |
MacDermott, Sean Sutton, Keith Motorniak, David Bredhauer, Jacqueline Wright, Fiona Whyte, Merryl van Vuuren, Julia Spelten, Evelien |
author_sort |
MacDermott, Sean |
title |
Suicide-related crisis presentations to a rural emergency department: A retrospective cohort study |
title_short |
Suicide-related crisis presentations to a rural emergency department: A retrospective cohort study |
title_full |
Suicide-related crisis presentations to a rural emergency department: A retrospective cohort study |
title_fullStr |
Suicide-related crisis presentations to a rural emergency department: A retrospective cohort study |
title_full_unstemmed |
Suicide-related crisis presentations to a rural emergency department: A retrospective cohort study |
title_sort |
suicide-related crisis presentations to a rural emergency department: a retrospective cohort study |
publisher |
SAGE Publications |
publishDate |
2022 |
url |
http://dx.doi.org/10.1177/10398562211067195 http://journals.sagepub.com/doi/pdf/10.1177/10398562211067195 http://journals.sagepub.com/doi/full-xml/10.1177/10398562211067195 |
genre |
First Nations |
genre_facet |
First Nations |
op_source |
Australasian Psychiatry page 103985622110671 ISSN 1039-8562 1440-1665 |
op_rights |
http://journals.sagepub.com/page/policies/text-and-data-mining-license |
op_doi |
https://doi.org/10.1177/10398562211067195 |
container_title |
Australasian Psychiatry |
container_start_page |
103985622110671 |
_version_ |
1766002450408407040 |