Quality of the written information about suicide attempters
Calidad de los informes médicos sobre personas que han intentado suicidarse
Marta Mireta,b, Roberto Nuevoa,b, Consuelo Morantc, Enrique Sainz-Cortónd, Miguel Ángel Jiménez-Arrierob,e, Juan J. López-Iborb,f, Blanca Renesesb,f, Jerónimo Saiz-Ruizb,g, Enrique Baca-Garcíab,h,i, José Luis Ayuso-Mateosa,b,
Corresponding author
a Departamento de Psiquiatría, Universidad Autónoma de Madrid, Hospital Universitario de la Princesa, Madrid, Spain
b Instituto de Salud Carlos III, Centro de Investigación en Red de Salud Mental, CIBERSAM, Spain
c Oficina Regional de Salud Mental, Comunidad de Madrid, Spain
d Departamento de Psiquiatría, Hospital Universitario Gregorio Marañón, Madrid, Spain
e Departamento de Psiquiatría, Hospital Universitario 12 de Octubre, Universidad Complutense, Madrid, Spain
f Instituto de Psiquiatría y Salud Mental, Hospital Universitario Clínico San Carlos, Universidad Complutense, Madrid, Spain
g Departamento de Psiquiatría, Hospital Universitario Ramón y Cajal, Universidad de Alcalá, Madrid, Spain
h Departamento de Psiquiatría, Fundación Jiménez Díaz, Universidad Autónoma de Madrid, Spain
i Departamento de Psiquiatría, Columbia University, Nueva York, USA
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"tienePdf" => true "fechaRecibido" => "2009-09-14" "fechaAceptado" => "2009-11-03" "PalabrasClave" => array:2 [ "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec102084" "palabras" => array:3 [ 0 => "Deliberate self-harm" 1 => "Emergency service" 2 => "Suicide" ] ] ] "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec102083" "palabras" => array:3 [ 0 => "Autolesión deliberada" 1 => "Servicios de urgencia" 2 => "Suicidio" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span class="elsevierStyleSectionTitle">Introduction</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">The aim of the study was to assess the quality of the clinical records of the patients who are seen in public hospitals in Madrid after a suicide attempt in a blind observation.</p> <span class="elsevierStyleSectionTitle">Methods</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Observational, descriptive cross-sectional study conducted at four general public hospitals in Madrid (Spain). Analyses of the presence of seven indicators of information quality (previous psychiatric treatment, recent suicidal ideation, recent suicide planning behaviour, medical lethality of suicide attempt, previous suicide attempts, attitude towards the attempt, and social or family support) in 993 clinical records of 907 patients (64.5% women), ages ranging from 6 to 92 years (mean 37.1<span class="elsevierStyleHsp" style=""></span>±<span class="elsevierStyleHsp" style=""></span>15), admitted to hospital after a suicide attempt or who committed an attempt whilst in hospital.</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Of patients who attempted suicide, 94.9% received a psychosocial assessment. All seven indicators were documented in 22.5% of the records, whilst 23.6% recorded four or less than four indicators. Previous suicide attempts and medical lethality of current attempt were the indicators most often missed in the records. The study found no difference between the records of men and women (z<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>0.296; p<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>0.767, two tailed Mann-Whitney U test), although clinical records of patients discharged after an emergency unit intervention were more incomplete than the ones from hospitalised patients (z<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>2.731; p = 0.006), and clinical records of repeaters were also more incomplete than the ones from non-repeaters (z<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>3.511; p<span class="elsevierStyleHsp" style=""></span><<span class="elsevierStyleHsp" style=""></span>0.001).</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Clinical records of patients who have attempted suicide are not complete. The use of semi-structured screening instruments may improve the evaluation of patients who have self- harmed.</p>" ] "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<span class="elsevierStyleSectionTitle">Introducción</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">El objetivo de este estudio fue evaluar, mediante una observación ciega, la calidad de los informes clínicos de los pacientes vistos en hospitales públicos de Madrid tras un intento de suicidio.</p> <span class="elsevierStyleSectionTitle">Método</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Estudio observacional, descriptivo transversal llevado a cabo en cuatro hospitales generales públicos de Madrid (España). Se analizaron siete indicadores de calidad (antecedentes de atención psiquiátrica, intentos de suicidio previos, apoyo social o familiar, ideación suicida, planificación suicida, reacción frente al intento y grado de daño médico como resultado del intento actual), en 993 informes clínicos de 907 pacientes (el 64,5%, mujeres), con edades comprendidas entre los 6 y los 92 (media, 37,1<span class="elsevierStyleHsp" style=""></span>±<span class="elsevierStyleHsp" style=""></span>15) años, que acudieron al hospital tras un intento de suicidio o que lo intentaron cuando estaban en el hospital.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">De los pacientes que intentaron suicidarse, el 94,9% recibió una evaluación psicosocial. Los siete indicadores se documentaron en el 22,5% de los informes, mientras que en el 23,6% se registraron cuatro indicadores o menos. Los intentos de suicidio previos y la letalidad del intento actual fueron los indicadores que con mayor frecuencia faltaban en los informes. No aparecieron diferencias entre los informes de los varones y los de las mujeres (z<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>0,296; p<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>0,767, prueba de la U de Mann-Whitney bilateral), aunque los informes de los pacientes dados de alta tras la atención en urgencias estaban más incompletos que los de los pacientes ingresados (z<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>2,731; p<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>0,006), y los informes de las personas con intentos previos también estaban más incompletos que los de aquellos que no tenían intentos previos (z<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>3,511; p<span class="elsevierStyleHsp" style=""></span><<span class="elsevierStyleHsp" style=""></span>0,001).</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Los informes clínicos de las personas que han intentado suicidarse no están completos. 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| 2018 January | 3 | 2 | 5 |
| 2017 December | 4 | 0 | 4 |
| 2017 November | 1 | 1 | 2 |
| 2017 October | 7 | 3 | 10 |
| 2017 September | 4 | 3 | 7 |
| 2017 August | 5 | 4 | 9 |
| 2017 July | 9 | 1 | 10 |
| 2017 June | 2 | 2 | 4 |
| 2017 May | 4 | 2 | 6 |
| 2017 April | 3 | 0 | 3 |
| 2017 March | 6 | 21 | 27 |
| 2017 January | 1 | 0 | 1 |
| 2016 December | 0 | 1 | 1 |
| 2016 November | 0 | 1 | 1 |
| 2016 October | 3 | 5 | 8 |
| 2016 September | 2 | 2 | 4 |
| 2016 August | 1 | 0 | 1 |
Show all