Læknablaðið - 15.02.2010, Blaðsíða 35

Heimildir
FRÆÐIGREINAR
RANNSÓKN
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Clinical aspects and follow up of suicide attempts treated in a general Intensive
Care Unit at Landspitali University Hospital in lceland 2000-2004.
Objective: To gather information on patients admitted to
an intensive care unit (ICU) after a serious suicide attempt
(SA).
Methods: Retrospective analysis and follow up of
admittances to ICUs of Landspitali University Hospital after
SA years 2000-2004.
Results: Admittances because of SA were 251 (4% of
ICU admissions, 61 % females, 39% males, mean age 36
yr ± 14). Ten percent were admitted more than once and
61 % had prior history of SA. Drug intoxication was the
most prevalent type of SA (91 %) and the most frequent
complication was pneumonia. Following ICU stay 36%
of the patients were admitted to psychiatric wards and
80% received psychiatric follow up. The main psychiatric
diagnosis was addiction (43%). Majority of patients were
divorced or single and the rate of unemployment was high.
Mortality during ICU stay was 3%. During 3-7 year follow
up 21 patients died (10 %), majority due to suicide. In a
survival analysis only the number of tablets taken, APACHE
II score and number of somatic diseases predicted risk of
death.
Conclusion: The patient group is young (36 yr), majority
are women (61 %), repeated attempts are frequent, social
circumstances are poor and death rate after discharge
from hospital is high (10%) even though the vast majority
(80%) receives psychiatric follow up.This raises the
question if the offered treatment is effective enough.
Sverrisson KO, Palsson SP, Sigvaldason K, Karason S.
Clinical aspects and follow up of suicide attempts treated in a general Intensive Care Unit at Landspitali University Hospital in
lceland 2000-2004. Icel Med J 2010; 96:101-7
Key words: Suicide attempt, suicide, drug poisoning, intensive care, mental health care.
Correspondence: Sigurbergur Kárason, skarason@landspitali.is
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Barst: 3. september 2009, - samþykkt til birtingar: 6. janúar 2010
Hagsmunatengsl: Engin
LÆKNAblaðið 2010/96 1 07
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