scholarly journals Suicide attempts and substance use in an emergency room sample

2009 ◽  
Vol 58 (2) ◽  
pp. 86-91 ◽  
Author(s):  
Alessandra Diehl ◽  
Ronaldo Laranjeira
Keyword(s):  
Suicide Attempt ◽  
Emergency Room ◽  
Substance Dependence ◽  
Suicide Attempts ◽  
Psychiatric Treatment ◽  
Demographic Data ◽  
Epidemiologic Study ◽  
P Value ◽  
Chi Square ◽  
Psychiatric Interview

OBJECTIVE: Describe suicide attempts assisted in an emergency room (ER) and acute substance consumption or dependence on these individuals. METHODS: Descriptive epidemiologic study was carried out during one year, evaluating suicide attempts assisted at Embu das Artes ER, São Paulo, Brazil. Patients were scheduled to a non structured psychiatric interview. Main outcomes measures were: socio demographic data, suicide attempt method, drugs or alcohol acute use in the six hours prior to attempt, patients with ICD-10 substance dependence diagnosis. The descriptive analyses and chi-square test (p < 0.05) were used to verify associations between the variables studied. RESULTS: sample was formed of 80 patients, mean age of 26.9 years (SD = 8.91), predominantly female (72.5%) and 21.2% adolescents. Most suicide attempts were made through medicine ingestion (62.5%). Approximately 21.2% and 7.5% related to have used alcohol and an illicit drug respectively within 6 hours prior to attempt and 10% were found to be substance dependent. All substance dependents had attempted suicide previously (p-value = 0.4). There was a significant association between suicide attempt through medicine ingestion and psychiatric treatment history (p = 0.02). CONCLUSION: More national studies are necessary to consider the role of alcohol and drug in suicide attempts assisted in ER, especially in chemical dependents whose suicidal behavior is relevant.

Analisis Faktor Determinan Pelaksanaan Inisiasi Menyusu Dini Oleh Bidan Di Rumah Sakit Umum Anutapura Palu

2018 ◽  
Vol 1 (1) ◽  
pp. 34
Author(s):  
Ni Nyoman Novita ◽  
Gusman Arsyad
Keyword(s):  
Emergency Room ◽  
Peer Support ◽  
Statistical Tests ◽  
Bivariate Analysis ◽  
P Value ◽  
Chi Square ◽  
Cross Sectional ◽  
Implementation Processes ◽  
Chi Square Test ◽  
The Government

Implementation of IMD in hospitals has decreased from the previous year and has not reached the target set by the government. Some IMD implementation processes have not been carried out according to applicable standards. So that babies do not get an IMD in accordance with existing SOPs. The purpose of this study was to determine the determinant factors associated with the implementation of the IMD by midwives in the Midwifery and Maternity Room Emergency Room (IGD) at the Anutapura General Hospital in Palu. This research method is analytical with cross sectional approach. The population of this study was that all midwives in the obstetrics emergency room and maternity room at Anutapura Palu Hospital were 37 respondents. The sample in this study is total sampling. The analysis used was univariate, and bivariate analysis using the chi square test with a confidence level of 95% (α = 0.05). The results of statistical tests on variable knowledge of midwives with the implementation of IMD p value: 0.018 (p value <0.05). APN training with the implementation of IMD p value: 0.697 (p value> 0.05). length of work with the implementation of IMD p value: 0.029 (p value <0.05). and peer support with the implementation of IMD p value: 0.007 (p value <0.05). Conclusions there is a relationship between knowledge, length of work, peer support with the implementation of the IMD, and training factors that have nothing to do with IMD implementation. The strongest factor in the relationship is peer support. It is recommended that the Anutarapura Palu Hospital be able to motivate midwives so that they can further enhance their role in the implementation and provide support to their colleagues so that the implementation of the IMD can be carried out in accordance with applicable standards.Keywords: Knowledge, APN Training, Duration of work, Implementation of IMD

Who are the suicide reattempters?

2016 ◽  
Vol 33 (S1) ◽  
pp. S600-S600
Author(s):  
E. Gattoni ◽  
C. Gramaglia ◽  
C. Delicato ◽  
S. Di Marco ◽  
I. Coppola ◽  
...  
Keyword(s):  
Risk Factors ◽  
Personality Disorder ◽  
Suicide Attempt ◽  
Emergency Room ◽  
Suicide Attempts ◽  
Somatoform Disorder ◽  
Psychiatric Disease ◽  
Psychiatric Evaluation ◽  
Axis I ◽  
Competing Interest

BackgroundHistory of previous suicide attempts is one of the most important risk factors for a subsequent completed suicide. Suicide reattempters (SR) has been long associated with demographic and clinical risk factors for suicide, such as unemployment and psychiatric disorders, however a recent review of the literature has not supported a specific age and gender profile of SR, but rather underscored that, as far as diagnosis is concerned, SR were more likely to have a personality disorder. According to literature, 16%–34% of the subjects repeat a suicide attempt within the first 2 years after the previous one.AimThe purpose of our study was evaluating clinical and socio-demographic characteristics and the outcome of psychiatric consultation among subjects referring to an emergency room for recommitting a suicide attempt.MethodsWe considered a sample of SR aged > 16 years. We extracted data from the database including all patients requiring psychiatric evaluation in the emergency room, and eventually compared the features of SR and patients with a single suicide attempt. For each patient, we gathered socio-demographic features, psychiatric history and current clinical issues, suicidal intent and suicidal behaviors.ResultsData collection and statistical analyses are still ongoing. Preliminary results show that, compared to patients with a single suicide attempt, SR were more frequent female, unmarried, employed, with a low level of instruction; they had a psychiatric disease (axis I – anxiety disorder, somatoform disorder; axis II – histrionic personality disorder); they are under the care of mental health services and under psychopharmacological treatment.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals Hubungan antara Karakteristik Demografi dan Pengetahuan dengan Self Management Hipertensi Pada Masyarakat Suku Timor: Penelitian Cross sectional

2020 ◽  
Vol 11 (3) ◽  
pp. 245
Author(s):  
Siti Sakinah ◽  
Jacob M Ratu ◽  
Pius Weraman
Keyword(s):  
Family Income ◽  
Demographic Data ◽  
Education Level ◽  
Demographic Characteristics ◽  
Self Management ◽  
P Value ◽  
Tribal Community ◽  
Chi Square ◽  
Cross Sectional ◽  
Chi Square Test

Introduction: Caring and treatment of hypertension is a long process that requires a strategy in managing the disease, one of which is self management. The purpose of This study was to determine the correlation between Demographic Characteristics and knowledge with Self Management of Hypertension in the Timor tribal community. Methods: This research was a descriptive analytic study with a coros sectional approach conducted on 70 the timor tribal community in the Province of East Nusa Tenggara. The study was conducted in February 2020. Demographic characteristics studied include gender, age, education level, employment and family income. Components of Self Management Hypertension measured include drug swallowing, diet and control of blood pressure. Demographic data, knowledge and Self Management of Hypertension were measured using a questionnaire and analyzed using chi square test using SPSS 21. Results: The demographic characteristics (age and education level) and knowledge correlated positively with self management of hypertension. Age with p value (0,001), while level of education and knowledge with p value (0,000). Conclusions and recommendations: increasing age reduces hypertension self management abilities, meanwhile higher education and good knowledge improve hypertension self management. The recommendations of this study are that early and ongoing education is needed to increase knowledge in the management of hypertension. Keywords: demographic characteristics; knowledge; self management; hypertension ABSTRAK Pendahuluan: Pengobatan dan perawatan hipertensi merupakan suatu proses panjang yang membutuhkan strategi dalam mengelola penyakit tersebut, salah satunya adalah menegemen diri (self management). Penelitian ini bertujuan untuk mengetahui Hubungn antara Karakteristik Demografi dan pengetahuan dengan Self Management Hipertensi Pada Masyarakat Suku Timor. Metode: Penelitian ini adalah penelitian deskriptif analitik dengan pendekatan coros sectional yang dilakukan pada 70 masyarakat suku Timor di propinsi Nusa Tenggara Timur. Penelitian dilaksanakan pada bulan Februari 2020. Karakteristik demografi yang diteliti antara lain Jenis Kelamin, Usia, Tingkat Pendidikan, Pekerjaan dan Penghasilan Keluarga. Komponen Self Management Hipertensi yang diukur yaitu tindakan menelan obat, diet dan kontrol tekanan darah. Data demografi, pengetahuan dan Self Management Hipertensi diukur dengan menggunakan kuesioner dan dianalisis dengan menggunkan chi square Test dengan bantuan SPSS 21. Hasil: Karakteristik demografi (usia dan tingkat pendidikan) dan pengetahuan berkolerasi positif dengan self management hipertensi . Usia dengan pvalue (0,001), sedangkan tingkat pendidikan dan pengetahuan dengan p value (0,000). Kesimpulan dan rekomendasi : semakin bertambah usia mengurangi kemampuan self management hipertensi, sementara itu pendidikan tinggi dan pengetahuan yang baik meningkatkan self management hipertensi. Rekomendasi penelitian ini adalah diperlukan edukasi sejak dini dan berkelanjutan untuk meningkatan pengetahuan dalam penatalaksanaan penyakit hipertensi. Kata kunci: karakteristik demografi; pengetahuan; self management; hipertensi

scholarly journals Changes in the pattern of suicide attempters visiting the emergency room after COVID-19 pandemic: an observational cross sectional study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Ji-Hun Kang ◽  
Si-Won Lee ◽  
Jae-Gu Ji ◽  
Jae-Kwang Yu ◽  
Yun-Deok Jang ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Suicide Attempt ◽  
Systolic Blood Pressure ◽  
Emergency Room ◽  
Suicide Attempts ◽  
Educational Background ◽  
Management Program ◽  
Cross Sectional ◽  
History Of ◽  
At Home

Abstract Background This study aimed to find out the change in the rate and pattern of suicide attempts during severe acute respiratory syndrome COVID-19 pandemic period. Methods This study was a retrospective analysis of data collected as a part of an emergency room-based post-suicide management program. The data were collected through interviews and from medical records of suicide attempts, maintained in the emergency room, from January 19 to October 31, 2020, during the “COVID-19 period,” and those who attempted suicide from January 19 to October 31, 2019 “pre-COVID-19 period.” We extracted educational background, marital status, occupation, presence of domestic partner, history of mental illness, alcohol consumption, history of previous suicide attempts; suicide attempt method and location (i.e., at home or a place other than home) at the time of attempt, and whether the attempt was a mass suicide. In addition, we compared patient severity between “COVID-19 period” and “pre-COVID-19 period” using the initial KTAS (South Korean triage and acuity scale) level, consciousness level, and systolic blood pressure. In 2012, KTAS was developed through the Ministry of Health and Welfare’s research project to establish triage system in South Korea. Results The analysis of the number of suicide attempts during “pre-COVID-19 period” and “ COVID-19 period” showed that the number of suicide attempts during “COVID-19 period” (n = 440) increased compared to the “pre-COVID-19 period” (n = 400). Moreover, the method of suicide attempts during “COVID-19 period” included overdose of drugs such as hypnotics, antipsychotics, and pesticides that were already possessed by the patient increased compared to the “pre-COVID-19 period” (P < 0.05). At the time of the visit to the emergency room, high KTAS level, low level of consciousness, and low systolic blood pressure, were observed, which were significantly different between “COVID-19 period” and “pre-COVID-19 period” (P < 0.05). Conclusion With the worldwide COVID-19 virus spread, suicide rate and suicide attempts at home have significantly increased. In addition, patient severity was higher in the “COVID-19 period” than that in the “pre-COVID-19 period.” The increasing suicide attempt rate should be controlled by cooperation between the emergency room and regional organizations.

HUBUNGAN TINGKAT PENGETAHUAN DENGAN SIKAP PERAWAT TENTANG PENATALAKSANAAN BANTUAN HIDUP DASAR

2020 ◽  
Vol 15 (2) ◽  
pp. 283-288
Author(s):  
Tommy Pangandaheng
Keyword(s):  
Emergency Room ◽  
Basic Life Support ◽  
Life Support ◽  
Survey Methods ◽  
Heart Association ◽  
P Value ◽  
Chi Square ◽  
Nursing Services ◽  
Chi Square Test ◽  
The Relationship

Basic Life Support is effective if it is immediately carried out when the patient has a disorder that requires immediate action. The sooner the Basic Life Support is carried out, the greater the success rate of help, on the contrary the slower the level of success the smaller the help. This study aims to determine the relationship of the level of knowledge of nurses with the attitude of nurses working in emergency room installations about basic life support measures that refer to the American Heart Association (AHA) standards. The research method used is to use analytic research designs with survey methods and analyzed using the Chi Square test. The sample in this study were all nurses who performed nursing actions in the emergency room at Labuang Baji Hospital Makassar, amounting to 23 people. Chi Square test to test the relationship between these two variables produces a value of p: 0.014 compared to α: 0.05, the p value is smaller so this means that Ho is rejected and there is enough evidence to accept Ha, meaning that there is a relationship between nurses 'knowledge and nurses' attitudes about management Basic Life Support in the emergency room of Labuang Baji Hospital Makassar. Researchers hope that the results of this study can be used as a reference in improving nursing services in terms of management knowledge of Basic Life Support.    

scholarly journals Analysis of Ear, Nose and Throat Foreign Bodies in Dhulikhel Hospital

2013 ◽  
Vol 10 (2) ◽  
pp. 4-8 ◽  
Author(s):  
Inku Shrestha ◽  
BL Shrestha ◽  
RCM Amatya
Keyword(s):  
Foreign Body ◽  
Primary Care Physicians ◽  
Foreign Bodies ◽  
Demographic Data ◽  
P Value ◽  
Chi Square ◽  
Cross Sectional ◽  
Male Predominance ◽  
Institutional Review ◽  
Nose And Throat

Background Foreign body in ear nose and throat are commonly encountered by otolaryngologists, pediatricians and primary care physicians. Objective The aim of this study is to analyze different types of foreign bodies and socio-demographic correlates of self-inflicted foreign body insertion in ear–nose–throat. Method This was a two year hospital based cross sectional descriptive study performed in the Department of ear nose and throat (ENT), Dhulikhel Hospital - Kathmandu University from June 2009 to June 2011 after verification from the Institutional Review Committee. Using a predesigned questionnaire, socio-demographic data was collected prospectively by examining clinically all patients attending with foreign body and interviewing the caregivers of pediatric patients after removal of foreign body. The data collected from 312 patients was entered and analyzed by using descriptive and analytical statistical methods using SPSS version 16.0. Results The mean age was 21.26 years with majority between 0-10 years (50.6%). Male predominance was noted (58.97%). Most patients or caregivers were illiterate (35.1%) or literacy up to primary level(21.12%).Foreign body of the ear was found to be most frequent ( 47.4%) and mostly they were non-living (96.1%). Most patients presented late (80%) and had history of prior attempted removal (67%). Pearsons chi square test between education level and duration of time was significant (p value- 0.0000). One way ANOVA test between type of foreign body and age was significant (p value- 0.001). Conclusion Foreign bodies are common in adult and pediatric ear, nose and throat. They can potentially be associated with significant complications if not taken care of immediately. Kathmandu University Medical Journal | Vol.10 | No. 2 | Issue 38 | Apr – June 2012 | Page 4-8 DOI: http://dx.doi.org/10.3126/kumj.v10i2.7334

scholarly journals Thrombolysis on first contact saves minutes and myocardium

2020 ◽  
Vol 52 (4) ◽  
Author(s):  
Muhammad saad Jibran ◽  
Muhammad Irfan
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Chest Pain ◽  
Emergency Room ◽  
Pain Clinic ◽  
P Value ◽  
Base Line ◽  
Chi Square ◽  
Cardiology Department ◽  
Chi Square Test

ABSTRACT OBJECTIVE: To compare the door to needle time (DNT), for thrombolysis in acute myocardial infarction, at the new chest pain clinic at emergency room, with the old CCU at the cardiology Department LRH Peshawar. METHODOLOGY: This was a retrospective study conducted at Lady reading Hospital, Peshawar. Two data sets were acquired from hospital records. One for CCU at the cardiology department covered the span from 1st July till 30th sept: 2010. The other for the chest pain clinic emergency department covered the span from 1st April to 15th May, 2017. All the patients having ST elevated acute myocardial infarction eligible for thrombolytic therapy were included in the study. Door to needle time was calculated in both the groups. Comparison of DNT between both groups was made by using student t-test with p-≤0.05 taken as significant. Comparison between other base line qualitative characteristics was made by using chi square test with p-≤0.05 taken as significant. RESULTS: Total of 140 patients were enrolled in CCU group with mean age of 57.96±13.5 years. Out of these 60% were male. While 209 patients were enrolled in ED group with mean age of 58.85±6.9 years. Of these 65.1% were males. Mean DNT in CCU group was 72.42±50.85 minutes while in ED was 31.96±16.6 minutes with p-value 0.0001 with a reduction of 41.30 minutes in the DNT. DNT of <30 minutes and between 30-60 minutes was achieved in 7.1% and 62.8% in CCU group while in rest it was more than 60 minutes. In ED group the DNT achieved was <30 minutes in70.8% and 30-60 minutes in 29.2% of patients while none fell in category of >60 minutes. CONCLUSION: The door to needle time for thrombolytic administration for acute myocardial infarction was significantly less at the chest pain clinic at emergency room than at the CCU at cardiology department.

scholarly journals Predictors of Psychiatric Outpatient Adherence after an Emergency Room Visit for a Suicide Attempt

2020 ◽  
Vol 17 (9) ◽  
pp. 896-901
Author(s):  
Jin Shin ◽  
Seungbeom Yang ◽  
Doo-Heum Park ◽  
Seung-Ho Ryu ◽  
Jee Hyun Ha ◽  
...  
Keyword(s):  
Suicide Attempt ◽  
Emergency Room ◽  
Medical Records ◽  
Attempted Suicide ◽  
Emergency Room Visit ◽  
Psychiatric Treatment ◽  
Clinical Factors ◽  
Treatment History ◽  
Psychiatric Outpatient ◽  
Baseline Characteristics

Objective This study aimed to investigate the potential correlation between baseline characteristics of individuals visiting an emergency room for a suicide attempt and subsequent psychiatric outpatient treatment adherence.Methods Medical records of 525 subjects, who visited an emergency room at a university-affiliated hospital for a suicide attempt between January 2017 and December 2018 were retrospectively reviewed. Potential associations between baseline characteristics and psychiatric outpatient visitation were statistically analyzed.Results 107 out of 525 individuals (20.4%) who attempted suicide visited an outpatient clinic after the initial emergency room visit. Several factors (e.g., sober during suicide attempt, college degree, practicing religion, psychiatric treatment history) were significantly related to better psychiatric outpatient follow-up.Conclusion Several demographic and clinical factors predicted outpatient adherence following a suicide attempt. Therefore, additional attention should be given to suicide attempters who are at the risk of non-adherence by practitioners in the emergency room.

scholarly journals Analisis Faktor Determinan Pelaksanaan Inisiasi Menyusu Dini oleh Bidan di Rumah Sakit Umum Anutapura Palu

2020 ◽  
Vol 1 (1) ◽  
pp. 34-43
Author(s):  
Ni Nyoman Novita ◽  
Gusman Arsyad
Keyword(s):  
Emergency Room ◽  
Peer Support ◽  
Statistical Tests ◽  
Bivariate Analysis ◽  
P Value ◽  
Chi Square ◽  
Cross Sectional ◽  
Implementation Processes ◽  
Chi Square Test ◽  
The Government

mplementation of IMD in hospitals has decreased from the previous year and has not reached the target set by the government. Some IMD implementation processes have not been carried out according to applicable standards. So that babies do not get an IMD in accordance with existing SOPs. The purpose of this study was to determine the determinant factors associated with the implementation of the IMD by midwives in the Midwifery and Maternity Room Emergency Room (IGD) at the Anutapura General Hospital in Palu. This research method is analytical with cross sectional approach. The population of this study was that all midwives in the obstetrics emergency room and maternity room at Anutapura Palu Hospital were 37 respondents. The sample in this study is total sampling. The analysis used was univariate, and bivariate analysis using the chi square test with a confidence level of 95% (α = 0.05). The results of statistical tests on variable knowledge of midwives with the implementation of IMD p value: 0.018 (p value <0.05). APN training with the implementation of IMD p value: 0.697 (p value> 0.05). length of work with the implementation of IMD p value: 0.029 (p value <0.05). and peer support with the implementation of IMD p value: 0.007 (p value <0.05). Conclusions there is a relationship between knowledge, length of work, peer support with the implementation of the IMD, and training factors that have nothing to do with IMD implementation. The strongest factor in the relationship is peer support. It is recommended that the Anutarapura Palu Hospital be able to motivate midwives so that they can further enhance their role in the implementation and provide support to their colleagues so that the implementation of the IMD can be carried out in accordance with applicable standards.

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