Attempted Suicide in Glasgow

1963 ◽  
Vol 109 (462) ◽  
pp. 609-615 ◽  
Author(s):  
A. Balfour Sclare ◽  
C. M. Hamilton

Attempted suicide has been described as the prime emergency of general practice. Although this may represent a slightly exaggerated claim, the present writers have certainly found attempted suicide to be a frequent reason for the referral of patients to the psychiatric department of a general hospital. The expression “attempted suicide” is usually taken to refer to an unsuccessful attempt to kill oneself: yet such a description is often somewhat inappropriate to describe a dramatic episode of behaviour, during which an assault upon the self occurs as the result of a mood of despair or rage. Death may not be consciously sought and it is more satisfactory to define attempted suicide as a non-fatal act of self-damage.

Crisis ◽  
2020 ◽  
Vol 41 (5) ◽  
pp. 375-382
Author(s):  
Remco F. P. de Winter ◽  
Mirjam C. Hazewinkel ◽  
Roland van de Sande ◽  
Derek P. de Beurs ◽  
Marieke H. de Groot

Abstract. Background: Outreach psychiatric emergency services play an important role in all stages of a suicidal crisis; however, empirical assessment data are scarce. This study describes characteristics of patients assessed by these services and involved in suicidal crises. Method: During a 5-year period, detailed information from psychiatric emergency service assessments was recorded; 14,705 assessments were included. Characteristics of patients with/without suicidal behavior and with/without suicide attempts were compared. Outcomes were adjusted for clustering of features within individual patients. Results: Suicidal behavior was assessed in 32.2% of patients, of whom 9.2% attempted suicide. Suicidal behavior was most commonly associated with depression or adjustment disorder and these patients were referred to the service by a general practitioner or a general hospital, whereas those who attempted suicide were less likely to be referred by a general practitioner. Those who attempted suicide were more likely to be female and have had a referral by a general hospital. Self-poisoning by medication was the most common method of attempting suicide. Limitations: Bias could be due to missed or incomplete assessments. Primary diagnoses were based on clinical observation at the time of the assessment or on the primary diagnosis previously recorded. In addition, suicidal behavior or attempted suicide might have been underestimated. Conclusions: Suicidal behavior is commonplace in assessments by psychiatric emergency services. Suicidal patients with/without a suicide attempt differed with respect to demographic features, primary diagnoses, and referring entities, but not with respect to treatment policy. About 40% of the suicidal patients with/without an attempt were admitted following assessment.


Crisis ◽  
2009 ◽  
Vol 30 (2) ◽  
pp. 63-67 ◽  
Author(s):  
Irene Burger ◽  
Albert M. van Hemert ◽  
Willem J. Schudel ◽  
Barend J.C. Middelkoop

Background: Suicidal behavior is a severe public health problem. Aims: To determine the rates of attempted and completed suicide among ethnic groups in The Hague, The Netherlands (2002–2004). Methods: By analyzing data on attempted and completed suicide (from the psychiatric department of general medical hospitals; the psychiatric emergency service and the municipal coroners). Results: Turkish and Surinamese females aged 15–24 years were at highest risk for attempted suicide (age-specific rate 545 / 100,000 and 421 / 100,000 person-years, respectively). Both rates were significantly higher than in the same age group of Dutch females (246 / 100,000 person-years). Turkish (2%) and Surinamese (7%) had lower repeat suicide-attempt rates than did Dutch (16%) females aged 15–24. Significantly lower suicide-attempt rates were found for Surinamese than for Dutch females aged 35–54 years. Differences were not explained by socioeconomic living conditions. The ratio fatal/nonfatal events was 4.5 times higher in males than in females and varied across age, gender, and ethnicity strata. Completed suicide was rare among migrant females. No completed suicides were observed in the Turkish and Surinamese females aged 15–24 years. Conclusions: The study demonstrates a high risk of attempted suicide and a low risk of completed suicide among young Turkish and Surinamese females.


Author(s):  
Clément Cormi ◽  
Jan Chrusciel ◽  
Antoine Fayol ◽  
Michel Van Rechem ◽  
Khuloud Abou-Amsha ◽  
...  

Evaluating the use and impact of telemedicine in nursing homes is necessary to promote improvements in the quality of this practice. Even though challenges and opportunities of telemedicine are increasingly becoming well documented for geriatrics (such as improving access to healthcare, patient management, and education while reducing costs), there is still limited knowledge on how to better implement it in an inter-organizational context, especially when considering nursing homes. In this regard, this study aimed first to describe the telemedicine activity of nursing homes when cooperating with a general hospital; and then understand the behavioral differences amongst nursing homes while identifying critical factors when implementing a telemedicine project. We conducted a sequential, explanatory mixed-method study using quantitative then qualitative methods to better understand the results. Three years of teleconsultation data of twenty-six nursing homes (15 rural and 11 urban) conducting teleconsultations with a general hospital (Troyes Hospital, France) were included for the quantitative analysis, and eleven telemedicine project managers for the qualitative analysis. Between April 2018 and April 2021, 590 teleconsultations were conducted: 45% (n = 265) were conducted for general practice, 29% (n = 172) for wound care, 11% (n = 62) for diabetes management, 8% (n = 47) with gerontologist and 6% (n = 38) for dermatology. Rural nursing homes conducted more teleconsultations overall than urban ones (RR: 2.484; 95% CI: 1.083 to 5.518; p = 0.03) and included more teleconsultations for general practice (RR: 16.305; 95% CI: 3.505 to 73.523; p = 0.001). Our qualitative study showed that three critical factors are required for the implementation of a telemedicine project in nursing homes: (1) the motivation to perform teleconsultations (in other words, improving access to care and cooperation between professionals); (2) building a relevant telemedicine medical offer based on patients’ and treating physicians’ needs; and (3) it’s specific organization in terms of time and space. Our study showed different uses of teleconsultations according to the rural or urban localization of nursing homes and that telemedicine projects should be designed to consider this aspect. Triggered by the COVID-19 pandemic, telemedicine projects in nursing homes are increasing, and observing the three critical factors presented above could be necessary to limit the failure of such projects.


1989 ◽  
Vol 79 (3) ◽  
pp. 268-275 ◽  
Author(s):  
R. F. W. Diekstra ◽  
M. Egmond

2021 ◽  
Vol 32 (2) ◽  
pp. 60-64
Author(s):  
Margaret Ann Perry

Otalgia is a frequent reason for minor illness consultations in general practice. Margaret Ann Perry provides an overview of the common causes, complications and treatments Otalgia, also known as earache, is a common condition, which has a variety of causes. It is a frequent reason for visits to GP surgeries or walk-in centres and can potentially affect any age. Most of the common causes of otalgia are benign conditions that can be easily treated; however, there are a few more sinister diagnoses that need to be considered in some cases. This article therefore aims to give nurses and non-medical prescribers confidence in assessing and treating patients who present with this common condition.


1937 ◽  
Vol 83 (342) ◽  
pp. 71-94 ◽  
Author(s):  
F. Hopkins

Provision for the observation of cases of mental disturbance occurring in the administrative and the user area of the Liverpool Corporation is made in one of the city institutions, Smithdown Road Hospital. In this large general hospital are located two special divisions, containing 180 beds, one for female and one for male patients, and to the wards of these divisions are receivable all cases of attempted suicide occurring in Liverpool.


1985 ◽  
Vol 146 (5) ◽  
pp. 486-489 ◽  
Author(s):  
Keith Hawton ◽  
Jacqueline Roberts ◽  
Guy Goodwin

SummaryThe association between parental attempted suicide and child abuse was investigated in 114 mothers with children aged five years and under, referred to a general hospital following suicide attempts. The risk was greatly increased in the attempted suicide mothers, compared with both similar mothers at risk for depression and general population control mothers; well-documented risk of child abuse was identified in 29.8% of those who attempted suicide. No major differences were found between the attempted suicide mothers whose children were at risk and those whose children were not at risk. During the general hospital assessment of mothers with young children who attempt suicide, careful enquiry concerning the relationship with the children is essential


1968 ◽  
Vol 114 (515) ◽  
pp. 1299-1300 ◽  
Author(s):  
Alistair E. Philip ◽  
J. W. McCulloch

While the importance of psychological factors in attempted suicide has long been acknowledged, the use of standardized psychological techniques has been neglected. The paper by Vinoda (1966) is the first in Britain to describe the personality characteristics of attempted suicides using a battery of objective tests. She tested and compared a group of female attempted suicides, who had been admitted to the psychiatric ward of a general hospital, with a group of psychiatric patients and a group of non-psychiatric patients from the same hospital. Where differences on testing occurred it was usually the case that the attempted suicide and psychiatric groups were discriminated from the normal controls but not from each other.


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