Toulouse University, UPS, Laboratoire du Stress Traumatique, Adult ER, Purpan Hospital, Toulouse, France.
Crisis. 2012;33(6):358-63. doi: 10.1027/0227-5910/a000148.
Repeated episode(s) of deliberate self-harm (RDSH) is a major risk factor for suicide.
To identify specific risk factors for RDSH among patients admitted following an episode of deliberate self-harm (DSH) through acute intoxication.
A prospective 6-month study was conducted with 184 patients (71% female) admitted to the emergency room (ER) as a result of self-poisoning (SP).
Rate of RDSH stood at 18% after 6 months. The sociodemographic variables associated with repeated deliberate self-harm were to have no principal activity, consultation with a medical professional during the 6 months preceding the self-poisoning, and referral to psychiatric services upon release from the ER. The clinical variable associated with RDSH was alcohol addiction (OR=2.7; IC 95%=1.2-6.1, p<.05) as assessed at the time of the initial ER admission.
When patients are initially admitted to the ER as a result of self-poisoning, it is important to evaluate specific factors, particularly alcohol use, that could subsequently lead to repeated deliberate self-harm. The goal is to improve the targeting and referral of patients toward structures that can best respond to their needs.
反复发生的故意自伤（RDSH）是自杀的一个主要危险因素。
通过急性中毒确定在经历一次故意自伤（DSH）后因自伤而入院的患者中 RDSH 的特定风险因素。
对 184 名（71%为女性）因自服中毒而被送入急诊室（ER）的患者进行了一项前瞻性 6 个月研究。
6 个月后，RDSH 的发生率为 18%。与反复故意自伤相关的社会人口学变量是没有主要活动、在自伤前的 6 个月内咨询过医疗专业人员，以及在从 ER 出院后转介到精神科服务。在最初的 ER 入院时评估的与 RDSH 相关的临床变量是酒精成瘾（OR=2.7；95%CI=1.2-6.1，p<.05）。
当患者因自伤而首次被送入 ER 时，评估可能导致反复故意自伤的特定因素（特别是酒精使用）非常重要。目标是改善对最能满足他们需求的结构的患者的针对性和转介。
