Department of Mental Health, University Hospital Complex of Granada, Granada, Spain.
Department of Nursing, Faculty of Health Sciences, University of Malaga, Malaga, Spain.
PLoS One. 2018 Apr 9;13(4):e0195370. doi: 10.1371/journal.pone.0195370. eCollection 2018.
To analyze the number and characteristics of suicide attempts by reviewing records of the public emergency healthcare service information system.
A retrospective observational study was conducted of emergency telephone calls received between January 1 2007 and December 31 2013 throughout the Andalusia region (Southern Spain). Cases were selected based on phone operator or healthcare team labeling. Data were analyzed on the characteristics of the individuals, the timing and severity of attempts, their prioritization, and their outcome.
Between January 1 2007 and December 31 2013, 20.942 calls related to suicide attempts were recorded, a rate of 34.7 attempts per 100,000 inhabitants. Most cases were classified by the public emergency healthcare service (Empresa Pública de Emergencias Sanitarias, EPES) as code X84 (The International Statistical Classification of Diseases, tenth revision, ICD-10) or 305(The International Statistical Classification of Diseases, ninth revision, ICD-9). Attempts were more frequent in the 35-49-year age group and there were similar proportions of males and females. The lowest number of calls for suicide attempts were in 2007 and the highest in 2013. Calls were more frequent during the summer months, at weekends, and between 16:00 and 23:00 h. The likelihood of evacuation to the hospital emergency department was almost two-fold lower in over 65-yr-olds than in younger individuals. Significant (ƿ = 0.001) gender differences were found in call outcome and prioritization. The most influential factor for evacuation to a hospital emergency department was the code assigned by the attending healthcare team.
Information obtained from extra-hospital emergency services provides valuable data on the characteristics and timing of calls related to suicide attempts, complementing information from hospital emergency departments or population surveys. There is a need to standardize the definition and recording of a suicide attempt.
通过审查公共紧急医疗服务信息系统的记录来分析自杀企图的数量和特征。
对 2007 年 1 月 1 日至 2013 年 12 月 31 日期间整个安达卢西亚地区（西班牙南部）接到的紧急电话进行回顾性观察研究。根据电话接线员或医疗团队的标记选择案例。对个体特征、企图的时间和严重程度、其优先级及其结果进行分析。
在 2007 年 1 月 1 日至 2013 年 12 月 31 日期间，共记录了 20942 次与自杀企图相关的电话，每 10 万居民中有 34.7 次企图自杀。大多数案例被公共紧急医疗服务（Empresa Pública de Emergencias Sanitarias，EPES）归类为 X84（国际疾病分类，第十版，ICD-10）或 305（国际疾病分类，第九版，ICD-9）。企图自杀的情况在 35-49 岁年龄组中更为常见，男女比例相似。自杀企图电话数量最少的是在 2007 年，最多的是在 2013 年。电话呼叫在夏季、周末和 16:00 至 23:00 之间更为频繁。65 岁以上的人被送往医院急诊的可能性比年轻人低近两倍。在电话结果和优先级方面存在显著的性别差异（ƿ=0.001）。送往医院急诊的最主要影响因素是接诊医疗团队分配的代码。
从医院外紧急服务获取的信息提供了有关自杀企图相关电话特征和时间的宝贵数据，补充了医院急诊部门或人口调查的信息。需要对自杀企图的定义和记录进行标准化。
