Evidence map›Paper›PMID 41246787›Full record

ArticleCureus2025

Demographic, Socioeconomic, and Clinical Determinants of Repeat Suicide Attempts: A Retrospective Study of Emergency Department Visits at a Community Hospital.

Paul A Scalzo, Nicole Ann E Villa, Kristina Y Shum, Ashini A Patel, Stacy Chou, Madhulika Badri, Evan T Woods, Charles Wen, Allison Atkinson, Amy Hsu and 1 more

Abstract read
In one paragraph

Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Paul A ScalzoPsychiatry, Drexel University College of Medicine, Philadelphia, USA.
Nicole Ann E VillaPsychiatry, Drexel University College of Medicine, Philadelphia, USA.
Kristina Y ShumPsychiatry, Drexel University College of Medicine, Philadelphia, USA.
Ashini A PatelPsychiatry, Drexel University College of Medicine, Philadelphia, USA.
Stacy ChouPsychiatry, Drexel University College of Medicine, Philadelphia, USA.
Madhulika BadriPsychiatry, Drexel University College of Medicine, Philadelphia, USA.
Evan T WoodsPsychiatry, Drexel University College of Medicine, Philadelphia, USA.
Charles WenPsychiatry, Drexel University College of Medicine, Philadelphia , USA.
Allison AtkinsonPsychiatry, Drexel University College of Medicine, Philadelphia, USA.
Amy HsuPsychiatry, Drexel University College of Medicine, Philadelphia, USA.
Eduardo D EspiridionPsychiatry, Drexel University College of Medicine, Philadelphia, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSuicide is a critical public health issue in the United States, yet research is lacking on understanding the population that visits the Emergency Department (ED) for repeated suicide attempts (SA) and self-harm (SH).  Aims: Our aims are to identify and describe the population that revisits the ED for SA/SH, and to determine the factors that influence revisit rates.  Methods: This retrospective study was conducted from August 2022 to April 2024, reviewing ED visits from January 2019 to December 2021 at a single center. Data on demographics, diagnoses, family history, stressors, and outpatient care were analyzed. Statistical analyses, including Kruskal-Wallis, Mann-Whitney U, and correlation, were conducted.  Results: Among 138 participants (mean age 34.47 years), 83 (60.14%) were female, 86 (62.32%) were White, and 77 (55.80%) were on Medicaid. Psychiatric illness was present in 118 (85.51%), with depressive disorders most common, 76 (64.41%). Almost half of participants, 64 (46.38%), had a family psychiatric history, 28 (20.29%) participants had a diagnosis of hypertension and they had a significantly higher average revisit rate (p = 0.049), and 64 (46.38%) participants used a substance during SA/SH, with alcohol being the most frequently used. Oral medication was the most common method for SA, 145 (54.92% of SAs). Prior to the study period, 43 participants (31.16%) had seen a PCP, and only 70 ED visits (20.23%) resulted in scheduled outpatient follow-up. No significant differences were found between revisits and sex, age, payer status, or income (P > 0.05).  Conclusions: Our study demonstrated that psychiatric illness, substance use, and a family history of psychiatric disorders were highly prevalent among individuals with repeat ED visits for SA/SH. We propose that improving scheduled follow-up care after an event, encouraging PCP suicide-risk assessment, and medication management could serve as key intervention areas to reduce reattempts. Future research should focus on targeted interventions for high-risk populations, such as those with chronic diseases such as hypertension.

Indexed as

community hospitaldemographic factorsemergency departmentrepeat self-harmrepeat suicide attemptssuicide

Identifiers

PMID41246787
PMCPMC12619501

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.