Læknablaðið - 15.02.2010, Qupperneq 35

Heimildir
FRÆÐIGREINAR
RANNSÓKN
1. Haukka J, Suominen K, Partonen T, LonnqvistJ. Determinants
and outcomes of serious attempted suicide: a nationwide
study in Finland, 1996-2003. Am J Epidemiol 2008; 167:1155-
63.
2. Hagstofa íslands: www.hagstofan.is/. Sótt nóvember 2008.
3. Hawton K, Catalan J. Sjálvmordförsök. Bedömning och
behandling, vol. 2. Bokförlaget Natur och Kultur, Lund 1985.
4. Jónsdóttir G. Sjálfsmorð á íslandi. Læknablaðið 1977; 63: 47-
63.
5. Sigurðsson P, Jónsdóttir G. Sjálfsvíg á Norðurlöndum
1880-1980. Samanburður milli landa og hugsanlegar
skráningarskekkjur. Læknablaðið 1985; 71: 86-90.
6. Tómasson K, Zöega T. Sjálfsvíg og önnur voveifleg mannslát
á íslandi 1951-1990. Læknablaðið 1993; 79: 71-6.
7. Hawton K, van Heeringen K. The Intemational Handbook of
Suicide and Attempted Suicide, vol. 33. John Wiley & Sons,
West Sussex 2000.
8. Pálsson SP, Jónsdóttir G, Pétursson H. Parasuicidal behaviour
in an emergency room population. Nord Psykiatr Tidskr
1991; 45:351-6.
9. Hawton K, van Heeringen K. The Intemational Handbook of
Suicide and Attempted Suicide, vol. 31. John Wiley & Sons,
West Sussex 2000.
10. Pálssson SP, Jónsdóttir G, Pétursson H. The mortality risk of
a psychiatric emergency patients. A follow - up study. Nord
J Psychiatry 1996; 50: 207-16.
11. Kristinsson J, Pálsson R, Guðjónsdóttir GA, Blöndal M,
Guðmundsson S, Snook CP. Acute poisonings in Iceland: a
prospective nationwide study. Clin Toxicol (Phila) 2008; 46:
126-32.
12. Silverman MM. The language of suicidology. Suicide Life
Threat Behav 2006; 36: 519-32.
13. Knaus WA, Draper EA, Wagner DP, Zimmerman JE.
APACHE II: a severity of disease classification system. Crit
Care Med 1985; 13: 818-29.
14. Hagstofa íslands: www.hagstofa.is Sótt nóvember 2008.
15. Hagstofa íslands: www.hagstofa.is Sótt nóvember 2008.
16. Hagstofa íslands: www.hagstofa.is Sótt nóvember 2008.
17. Karason S, Antonsen K, Aneman A. Ventilator treatment in
the Nordic countries. A multicenter survey. Acta Anaesthesiol
Scand 2002; 46:1053-61.
18. Siguq'ónsdóttir JM, Briem N, Jónsdóttir G, Pálsson SP,
Pétursson H. Tíðni sjálfsvíga hjá þeim sem áður hafa reynt
sjálfsvíg. Læknablaðið 1993; 79: 335-41.
19. Doshi A, Boudreaux ED, Wang N, Pelletier AJ, Camargo CA,
Jr. National study of US emergency department visits for
attempted suicide and self-inflicted injury, 1997-2001. Ann
Emerg Med 2005; 46: 369-75.
20. Nordentoft M, Sogaard M. Registration, psychiatric
evaluation and adherence to psychiatric treatment after
suicide attempt. Nord J Psychiatry 2005; 59: 213-6.
21. Palsson SP, Jonsdottir G, Petursson H: Emergency psychiatry
in a general hospital. Nord Psykiatr Tidsskr 1990; 44: 345-52.
22. Sher L, Oquendo MA, Richardson-Vejlgaard R, et al. Effect
of acute alcohol use on the lethality of suicide attempts in
patients with mood disorders. J Psychiatr Res 2009; 43: 901-
5.
23. Minton NA, Glucksman E, Henry JA. Prevention of drug
absorbtion in simulated theophylline overdose. Hum Exp
Toxicol 1995; 14:170.
24. Pond SM, Lewis-Driver DJ, Williams GM, Green AC,
Stevenson NW. Gastric emptying in acute overdose: a
prospective randomised controlled trial. Med J Aust 1995;
163: 345-9.
25. Kulig K, Bar-Or D, Cantrill SV, Rosen P, Rumack BH.
Management of acutely poisoned patients without gastric
emptying. Ann Emerg Med 1985; 14: 562-7.
26. Merigan KS, Woodard M, Hedges JR, Roberts JR, Stuebing R,
Rashin MC. Prospective evaluation of gastric emptying in the
self-poisoned patient. Am J Emerg Med 1990; 8: 479.
27. Cedereke M, Monti K, Ojehagen A. Telephone contact with
patients in the year after a suicide attempt: does it affect
treatment attendance and outcome? A randomised controlled
study. Eur Psychiatry 2002; 17: 82-91.
28. Hawton K, Fagg J. Suicide, and other causes of death,
following attempted suicide. Br J Psychiatry 1988; 152: 359-
66.
29. Hawton K. Assessment of suicide risk. Br J Psychiatry 1987;
150:145-53.
30. Beautrais AL. Suicides and serious suicide attempts: two
populations or one? Psychol Med 2001; 31: 837-45.
31. Burillo-Putze G, Munne P, Duenas A, et al. National
multicentre study of acute intoxication in emergency
departments of Spain. Eur J Emerg Med 2003; 10:101-4.
32. Viertel A, Weidmann E, Brodt HR. [Cases of acute poisoning
admitted to a medical intensive care unit]. Dtsch Med
Wochenschr 2001; 126:1159-63. Þýska.
33. Gaillard M, Martel S, Reynaud P, Mercadal L, Liger C,
Herve C. [Severe suicides: short- and long-term outcome.
Assessment of their quality of life]. Agressologie 1990; 31:
749-52. Franska.
34. Nordstrom P, Samuelsson M, Asberg M. Survival analysis
of suicide risk after attempted suicide. Acta Psychiatr Scand
1995;91:336-40.
35. Suominen K, Isometsa E, Ostamo A, Lonnqvist J. Level
of suicidal intent predicts overall mortality and suicide
after attempted suicide: a 12-year follow-up study. BMC
Psychiatry 2004; 4:11.
36. Hawton K, Harriss L, Zahl D. Deaths from all causes in a
long-term follow-up study of 11,583 deliberate self-harm
patients. Psychol Med 2006; 36:397-405.
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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