ArticleBMC psychiatry2018
Suicidal patients presenting to secondary and tertiary emergency departments and referral to a psychiatrist: a population-based descriptive study from Japan.
Article in BMC psychiatry, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
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Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Secondary mental health service utilisation following emergency department contact for suicidal behaviour: A systematic review.The Australian and New Zealand journal of psychiatry · 2023Pooled it
- Timing of emergency department presentation and psychiatric consultation after self-harm or suicide attempts: a registry-based study in Japan.BMC psychiatry · 2026Observational
- Psychotropic Drugs for Older Adults With Psychiatric Disorders Presenting to the Emergency Department: Prescription Patterns and Treatment Outcomes.Psychiatric research and clinical practice · 2025Article
- Eleven-Year Trend of Drug and Chemical Substance Overdose at a Local Emergency Hospital in Japan.Cureus · 2022Article
- Self-reported sleep and exercise patterns in patients admitted with suicidal attempts: a cross-sectional comparative study.BMC psychiatry · 2022Article
- Development of a pre-hospital emergencies protocol for the management of suicidal patients in Iran.BMC emergency medicine · 2021Article
- Predictive factors for the medical hospitalisation of patients who visited the emergency department with suicide attempt.BMC psychiatry · 2021Article
- Psychosocial and Clinical Profiles of the Cases Visiting the Emergency Department Due to Accidental Self-harm and Suicide Attempts in Doha, Qatar: A Retrospective Study.Community mental health journal · 2021Article
- Potentially avoidable inter-facility transfer from Veterans Health Administration emergency departments: A cohort study.BMC health services research · 2020Observational
- The effect of motivational interviewing-based training on the rate of using mental health services and intensity of suicidal ideation in individuals with suicide attempt admitted to the emergency department.Journal of education and health promotion · 2020Article
- Methods of deliberate self-harm in a tertiary hospital in South Africa.The South African journal of psychiatry : SAJP : the journal of the Society of Psychiatrists of South Africa · 2020Article
- Risk factors for the need for advanced care among prescription and over-the-counter drug overdose patients.Acute medicine & surgeryArticle
Corrections and comments
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Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIn Japan, although many suicidal studies were previously conducted in tertiary emergency department (ED) settings, no published studies have reported on suicidal patients presenting to the secondary EDs. The aim of the study was to describe the characteristics of suicidal patients and the referral rates to a psychiatrist overall and by type of facility.
methodsQuestionnaires were sent to all secondary and tertiary EDs in Tochigi prefecture, Japan. Data were collected for cases who presented in September 2009. Chi-square, Fisher's exact, and t-tests compared the results by gender and type of ED.
resultsAll 74 EDs responded to the survey. There were 81 patients who attempted or died by suicide (36 men and 45 women). The most common method of suicide attempt was drug overdose (57%) followed by stabbing (17%). About a half used prescription drugs to attempt or die by suicide. The majority had a history of psychiatric disorders, and 35% had previous suicide attempt. About a half were admitted to medical or surgical unit; 33% were discharged home; and 9% died. After excluding those who died, 53% were referred to a psychiatrist, but 47% were not referred to a psychiatrist. The referral rate was lower for cases seen at secondary EDs (38%) compared to tertiary EDs (67%).
conclusionAlthough professional organizations suggest that suicidal patients are seen by a psychiatrist, many were not, especially at secondary EDs. Further research is needed to assure that suicidal patients presenting to EDs receive appropriate psychiatric assessment and follow-up after discharge.
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