| Summary: | Neðst á síðunni er hægt að nálgast greinina í heild sinni með því að smella á hlekkinn Skoða/Opna(view/open) OBJECTIVE: To gather information on patients admitted to an intensive care unit (ICU) after a serious suicide attempt (SA). METHODS: Retrospective analysis and follow up of admittances to ICUs of Landspitali University Hospital after SA years 2000-2004. RESULTS: Admittances because of SA were 251 (4% of ICU admissions, 61% females, 39% males, mean age 36 yr +/- 14 ). Ten percent were admitted more than once and 61% had prior history of SA. Drug intoxication was the most prevalent type of SA (91%) and the most frequent complication was pneumonia. Following ICU stay 36% of the patients were admitted to psychiatric wards and 80% received psychiatric follow up. The main psychiatric diagnosis was addiction (43%). Majority of patients were divorced or single and the rate of unemployment was high. Mortality during ICU stay was 3%. During 3-7 year follow up 21 patients died (10 %), majority due to suicide. In a survival analysis only the number of tablets taken, APACHE II score and number of somatic diseases predicted risk of death. CONCLUSION: The patient group is young (36 yr), majority are women (61%), repeated attempts are frequent, social circumstances are poor and death rate after discharge from hospital is high (10%) even though the vast majority (80%) receives psychiatric follow up.This raises the question if the offered treatment is effective enough. Key words: Suicide attempt, suicide, drug poisoning, intensive care, mental health care. Tilgangur: Að kanna afdrif þeirra sem þarfnast innlagnar á gjörgæslu eftir alvarlega sjálfsvígstilraun. Aðferðir: Aftursæ rannsókn á innlögnum á gjörgæsludeildir Landspítala vegna alvarlegra sjálfsvígstilrauna árin 2000-2004. Niðurstöður: Innlagnir vegna alvarlegra sjálfsvígstilrauna voru 251 (4% allra innlagna, 61% konur, 39% karlar, meðalaldur 36 ár ± 14). Tíu prósent lögðust inn oftar en einu sinni og 61% höfðu áður gert alvarlega sjálfsvígstilraun. Inntaka lyfja ...
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