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Emergency Department Visits Prior to Suicide and Homicide: Linking Statewide Surveillance Systems.
- Source :
-
Crisis [Crisis] 2016; Vol. 37 (1), pp. 5-12. Date of Electronic Publication: 2015 Dec 01. - Publication Year :
- 2016
-
Abstract
- Background: Emergency departments (EDs) serve a wide range of patients who present at risk of impending suicide and homicide.<br />Aims: Two statewide surveillance systems were probabilistically linked to understand who utilizes EDs and then dies violently within 6 weeks.<br />Method: Each identified case was matched with four randomly selected controls on sex, race, date of birth, resident zip code, and date of ED visit vs. date of death. Matched-pair odds ratios were estimated by conditional logistic regression to assess differences between cases and controls on reported diagnoses and expected payment sources.<br />Results: Of 1,599 suicides and 569 homicides in the 3-year study period, 10.7% of decedents who died by suicide (mean = 13.6 days) and 8.3% who died by homicide (mean = 16.3 days) were seen in a state ED within 6 weeks prior to death. ED attendees who died by suicide were more likely to have a diagnosis of injury/ poisoning diagnosis or mental disorder and more likely to have Medicare. Those who died by homicide were more likely to have a diagnosis of injury/poisoning and less likely to have commercial insurance.<br />Conclusion: It is essential for research to further explore risk factors for imminent suicide and homicide in ED patients who present for psychiatric conditions and general injuries.
- Subjects :
- Adolescent
Adult
Cause of Death
Databases, Factual
Epidemiological Monitoring
Female
Homicide prevention & control
Humans
Information Storage and Retrieval
Insurance, Health statistics & numerical data
Male
Medicaid statistics & numerical data
Medicare statistics & numerical data
Odds Ratio
Risk Assessment
Risk Factors
United States epidemiology
Veterans statistics & numerical data
Young Adult
Suicide Prevention
Emergency Service, Hospital statistics & numerical data
Homicide statistics & numerical data
Mental Disorders epidemiology
Poisoning epidemiology
Suicide statistics & numerical data
Wounds and Injuries epidemiology
Subjects
Details
- Language :
- English
- ISSN :
- 2151-2396
- Volume :
- 37
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- Crisis
- Publication Type :
- Academic Journal
- Accession number :
- 26620917
- Full Text :
- https://doi.org/10.1027/0227-5910/a000354