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Changes after emergency assessment of suicidal patients: An unexpected outcome

dc.creatorRangel-Malo, Rafael Venturaes_ES
dc.creatorMolina-Lopez, Alejandroes_ES
dc.creatorJimenez-Tapia, Albertoes_ES
dc.creatorLopez-Jimenez, Leopoldo Alejandroes_ES
dc.creatorGarcia-Morato, Pilar Carriedoes_ES
dc.creatorGonzalez-Forteza, Catalina Franciscaes_ES
dc.date2021
dc.date.accessioned2024-04-02T19:31:49Z
dc.date.available2024-04-02T19:31:49Z
dc.date.issued2021
dc.identifierJC60DIEP21es_ES
dc.identifier.issn1381-1118
dc.identifier.urihttp://repositorio.inprf.gob.mx/handle/123456789/7932
dc.identifier.urihttps://doi.org/10.1080/13811118.2020.1845888
dc.descriptionIntroduction: Acute Suicide Risk (ASR) is widely evaluated at Emergency Departments (ED). Little is known about follow-up of ASR after psychiatric ED evaluation, and if there are differences within No ASR (NASR) counterparts at baseline and afterwards. Method: We developed a naturalistic, 3-month follow-up study of adult patients from a psychiatric ED in Mexico City. Depressive patients who asked voluntarily for an emergency consultation from July 1 to December 1, 2014, were included. We compared depression severity, suicidal ideation, adherence to treatment, and perceived social support scales both in ASR and NASR participants at baseline and follow-up interviews. Results: Participants (n = 120) were divided into ASR or NASR groups (n = 60 each). The ASR group obtained more negative scores in all scales at baseline evaluation. After three months, 85% (n = 51) of ASR and 75% (n = 45) of NASR completed the second interview. 5.21% (n = 3) of participants showed new suicidal behavior. At follow-up, the ASR group showed a higher relative response in depression scales and treatment adherence (p = 0.036), and lower scores in suicidal ideation scales than NASR group (p = 0.012). Perceived support from family was significantly higher in the NASR group (p = 0.016). Discussion: These relative higher responses in clinical scales suggest a paradoxical advantage of ASR over NASR patients, suggesting a hypothetical phenomenon similar to "The Tortoise and the Hare" effect. However, it is not applicable for all ASR patients. Results suggest suicidal patients experience stigma from their families. Further research and public health programs for ASR at ED should be implemented.es_ES
dc.formatPDFes_ES
dc.language.isoenges_ES
dc.publisherInforma Healthcarees_ES
dc.relation26(2):896-911
dc.rightsAcceso Cerradoes_ES
dc.titleChanges after emergency assessment of suicidal patients: An unexpected outcomees_ES
dc.typeArtículoes_ES
dc.contributor.affiliationPsychology School, UPAEP, Puebla, Mexico
dc.contributor.emaildoctor.alex.psiquiatra@gmail.com
dc.relation.jnabreviadoARCH SUICIDE RES
dc.relation.journalArchives of Suicide Research
dc.identifier.placeInglaterra
dc.date.published2021
dc.identifier.organizacionInstituto Nacional de Psiquiatría Ramón de la Fuente Muñiz
dc.identifier.eissn1543-6136
dc.identifier.doi10.1080/13811118.2020.1845888
dc.subject.kwAcute suicidal risk
dc.subject.kwDepression
dc.subject.kwEmergency department


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