Abstract
Abstract
Aims
People who make medically serious suicide attempts (MSSAs) share a number of features with those who die by suicide, and are at a high risk of suicide themselves. Studies to date have mostly focused on clinical samples of MSSAs. An epidemiological examination at a national level can help to identify risk profiles and pathways of care in this population.
Methods
We explored the French nationwide hospital discharge database (Programme de Médicalisation des Systèmes d'Information, PMSI) to identify any MSSA taking place between 2012 and 2019. Relevant demographic and medical information was collected about the first MSSA of each attempter. Data from 2010 and 2011 were used to verify the absence of prior attempts.
Results
First occurrences of MSSAs amounted to 81 959 cases over 8 years, with a mean age of 45.8 years, and 53.6% women. Incidence was higher in women (18.1 v. 17.3 per 1 00 000). The most common suicide method was deliberate self-poisoning (64.9% of cases). In comparison, violent methods associated higher mortality and comorbidity and were more frequent in men. The most common mental disorders were mood disorders (55.6%) and substance use disorders (46.2%). A minority of MSSA survivors were hospitalised in psychiatry (32.5%), mostly women.
Conclusions
MSSAs are frequent and easy to identify. There is a need to reinforce the continuity of psychiatric care for this population given the high risk of subsequent suicide, and the low rates of psychiatric hospitalisation after an MSSA even if violent methods are used. Specific care targeting this population could reduce treatment gaps.
Publisher
Cambridge University Press (CUP)
Subject
Psychiatry and Mental health,Public Health, Environmental and Occupational Health,Epidemiology
Reference68 articles.
1. Incidence and fatality of serious suicide attempts in a predominantly rural population in Shandong, China: a public health surveillance study
2. Psychosocial and psychiatric risk factors for suicide
3. Psychiatric consultation of all suicide-attempt patients during a one year period in a tertiary hospital;Cooper-Kazaz;The Israel Medical Association Journal: IMAJ,2013
4. Suicides and serious suicide attempts: two populations or one?
5. Chee, CC and Jezewski-Serra, D (2014) Hospitalisations et recours aux urgences pour tentative de suicide en France métropolitaine à partir du PMSI-MCO 2004–2011 et d'Oscour® 2007–2011. Available at https://www.f2rsmpsy.fr/544-hospitalisations-recours-aux-urgences-pour-tentative-suicide-france-metropolitaine-partir-pmsi-mco-2004-2011-droscou.
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