Moreno-Küstner Berta, Del Campo-Ávila José, Ruíz-Ibáñez Ana, Martínez-García Ana I, Castro-Zamudio Serafina, Ramos-Jiménez Gonzalo, Guzmán-Parra José
Departamento de Personalidad, Evaluación y Tratamiento Psicológico, Universidad de Málaga, Málaga, Spain.
Grupo Andaluz de Investigación Psicosocial (GAP) (CTS-945), Instituto de Biomedicina de Málaga (IBIMA), Málaga, Spain.
Front Psychiatry. 2019 Mar 13;10:111. doi: 10.3389/fpsyt.2019.00111. eCollection 2019.
This study aims to analyse the number and characteristics of calls made to the Málaga Prehospital Emergency Service (PES) for suicidal behavior based on sociodemographic, temporal, and health care variables. This is a retrospective, descriptive study that records all calls made to the PES due to suicidal behavior (suicide attempts and completed suicides) in 2014. Sociodemographic variables (age, sex, and health district), variables related to the calls (time-slot, degree of sunlight, type of day, month, season of the year, prioritization, and number of resources mobilized) were extracted from these calls. The number of cases and percentages were presented for the qualitative variables. The rates per 100,000 were calculated by sex and health district and presented with the corresponding 95% confidence interval (CI). Of the total valid calls to PES ( = 181,824), 1,728 calls were made due to suicidal behavior (0.9%). The mean age was 43.21 (±18) years, 57.4% were women, and the rate was 112.1 per 100,000 inhabitants. The calls due to suicidal behavior were in the younger-middle age segment, in the time-slot between 16 and 23 h and during daylight hours, on bank holidays, in spring and summer in comparison with winter, and with a peak of calls in August. The majority of these calls were classified as undelayable emergencies and mobilized one health resource. Prehospital emergency services are the first contact to the sanitary services of persons or families with suicide attempts. This information should be a priority to offer a complete overview of the suicide behavior.
本研究旨在基于社会人口统计学、时间和医疗保健变量，分析拨打马拉加院前急救服务（PES）热线咨询自杀行为的电话数量及特征。这是一项回顾性描述性研究，记录了2014年因自杀行为（自杀未遂和自杀身亡）拨打PES热线的所有电话。从这些电话中提取了社会人口统计学变量（年龄、性别和健康区）、与电话相关的变量（时间段、日照程度、日期类型、月份、年份季节、优先级和调动的资源数量）。给出了定性变量的病例数和百分比。按性别和健康区计算每10万人的发生率，并给出相应的95%置信区间（CI）。在拨打PES热线的所有有效电话（=181,824）中，因自杀行为拨打的电话有1,728个（0.9%）。平均年龄为43.21（±18）岁，女性占57.4%，发生率为每10万居民112.1例。因自杀行为拨打的电话集中在中青年年龄段，时间段为16至23时，且在白天、节假日、春季和夏季（与冬季相比），8月份电话数量达到峰值。这些电话中的大多数被归类为不可延迟的紧急情况，且调动了一项医疗资源。院前急救服务是有自杀未遂行为的个人或家庭与卫生服务机构的首次接触。这些信息应作为优先事项，以全面概述自杀行为。
