Avant leur suicide, beaucoup se sont déjà présenté aux urgences

La majorité des personnes décédées de suicide (dans cette étude), s'étaient présenté aux urgences de l'hôpital dans l'année précédente. 
Au moins une fois, parfois plusieurs fois..... Ci-dessous, l'abstract de l'étude en question 
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Emergency department contact prior to suicide in mental health patients

D Da CruzA PearsonP SainiC MilesD WhileN SwinsonA WilliamsJ ShawL ApplebyN Kapur

The Centre for Suicide Prevention, Psychiatry, University of Manchester, Manchester, England

Emerg Med J doi:10.1136/emj.2009.081869

  1. Correspondence to Mr Damian Da Cruz, The National Confidential Inquiry, University of Manchester, Community Based Medicine, Floor 2, Jean McFarlane Building, Oxford Road, Manchester, M13 9PL, UK; damian.dacruz@manchester.ac.uk

Objectives To describe attendance at emergency departments (EDs) in the year prior to suicide for a sample of mental health patients. To examine the characteristics of those who attended (particularly those who attended frequently) prior to suicide.

Design Case review of ED records for 286 individuals who died within 12 months of mental health contact in North West England (2003–2005).

Method Cases identified through the National Confidential Inquiry into Suicide were checked against regional EDs to establish attendance in the year prior to death. Records were examined to establish the number of attendances, reason for the final, non-fatal attendance, treatment offered and outcome.

Results One hundred and twenty-four (43%) individuals had attended the ED at least once in the year prior to their death, and of these, 35 (28%) had attended the ED on more than three occasions. These frequent attenders died by suicide significantly sooner after their final, non-fatal attendance than other attenders. A clinical history of alcohol misuse was also associated with early death following ED attendance.

Conclusions Over 40% of our clinical sample attended an ED in the year prior to death, and some individuals attended particularly frequently. EDs may therefore represent an important additional setting for suicide prevention in mental health patients. The majority of attendances prior to suicide were for self-harm or to request psychiatric help. Clinicians should be alert to the risk associated with such presentations and to the possible association between frequent attendance and suicide.

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