Skip to main content
Top
Published in: BMC Psychiatry 1/2018

Open Access 01-12-2018 | Research article

Factors associated with hospitalization after self-poisoning in France: special focus on the impact of alcohol use disorder

Authors: Juliette Salles, Julie Calonge, Nicolas Franchitto, Emmanuelle Bougon, Laurent Schmitt

Published in: BMC Psychiatry | Issue 1/2018

Login to get access

Abstract

Background

Previous studies have identified factors associated with admission to hospital after suicide spectrum behaviors. In this study, we aim to identify specific factors associated with psychiatric hospitalization after self-poisoning. Given earlier findings suggesting that alcohol use disorder is not associated with hospital admission, we also aim to consider its impact, as well as blood alcohol concentrations, on hospitalization decisions after a suicide attempt.

Methods

We studied the association between demographic features, suicide intent, psychiatric characteristics and admission to hospital in self-poisoning patients in an emergency department in France.

Results

Suicide intent, a past history of suicide attempts, bipolar disorder and depression were associated with psychiatric hospital admissions. Despite alcohol use disorder being known to be associated with a suicide risk, it was not linked with psychiatric hospitalization. A positive blood alcohol concentration in the emergency department likewise had no association with admission to a psychiatric ward for inpatient care.

Conclusions

Our findings were similar to those reported for other suicide spectrum behaviors. Alcohol use disorder was not associated with admission for inpatient psychiatric care, whereas depression clearly was. The cause of this discrepancy must be determined in future research.
Literature
1.
2.
go back to reference Kessler RC, Borges G, Walters EE. Prevalence of and risk factors for lifetime suicide attempts in the National Comorbidity Survey. Arch Gen Psychiatry. 1999;56:617–26.CrossRefPubMed Kessler RC, Borges G, Walters EE. Prevalence of and risk factors for lifetime suicide attempts in the National Comorbidity Survey. Arch Gen Psychiatry. 1999;56:617–26.CrossRefPubMed
3.
go back to reference Kuo WH, Gallo JJ, Tien AY. Incidence of suicide ideation and attempts in adults: the 13-year follow-up of a community sample in Baltimore. Maryland Psychol Med. 2001;31:1181–91.PubMed Kuo WH, Gallo JJ, Tien AY. Incidence of suicide ideation and attempts in adults: the 13-year follow-up of a community sample in Baltimore. Maryland Psychol Med. 2001;31:1181–91.PubMed
4.
go back to reference Kelly TM, Cornelius JR, Clark DB. Psychiatric disorders and attempted suicide among adolescents with substance use disorders. Drug Alcohol Depend. 2004;73:87–97.CrossRefPubMed Kelly TM, Cornelius JR, Clark DB. Psychiatric disorders and attempted suicide among adolescents with substance use disorders. Drug Alcohol Depend. 2004;73:87–97.CrossRefPubMed
5.
go back to reference Bernal M, Haro JM, Bernert S, Brugha T, de Graaf R, Bruffaerts R, et al. Risk factors for suicidality in Europe: results from the ESEMED study. J Affect Disord. 2007;101:27–34.CrossRefPubMed Bernal M, Haro JM, Bernert S, Brugha T, de Graaf R, Bruffaerts R, et al. Risk factors for suicidality in Europe: results from the ESEMED study. J Affect Disord. 2007;101:27–34.CrossRefPubMed
6.
go back to reference Sareen J, Houlahan T, Cox BJ, Asmundson GJG. Anxiety disorders associated with suicidal ideation and suicide attempts in the National Comorbidity Survey. J Nerv Ment Dis. 2005;193:450–4.CrossRefPubMed Sareen J, Houlahan T, Cox BJ, Asmundson GJG. Anxiety disorders associated with suicidal ideation and suicide attempts in the National Comorbidity Survey. J Nerv Ment Dis. 2005;193:450–4.CrossRefPubMed
8.
go back to reference Baca-García E, Diaz-Sastre C, Resa EG, Blasco H, Conesa DB, Saiz-Ruiz J, et al. Variables associated with hospitalization decisions by emergency psychiatrists after a patient’s suicide attempt. Psychiatr Serv Wash DC. 2004;55:792–7.CrossRef Baca-García E, Diaz-Sastre C, Resa EG, Blasco H, Conesa DB, Saiz-Ruiz J, et al. Variables associated with hospitalization decisions by emergency psychiatrists after a patient’s suicide attempt. Psychiatr Serv Wash DC. 2004;55:792–7.CrossRef
9.
go back to reference Bennewith O, Gunnell D, Peters T, Hawton K, House A. Variations in the hospital management of self harm in adults in England: observational study. BMJ. 2004;328:1108–9.CrossRefPubMedPubMedCentral Bennewith O, Gunnell D, Peters T, Hawton K, House A. Variations in the hospital management of self harm in adults in England: observational study. BMJ. 2004;328:1108–9.CrossRefPubMedPubMedCentral
10.
go back to reference Hawton K, Bergen H, Casey D, Simkin S, Palmer B, Cooper J, et al. Self-harm in England: a tale of three cities. Multicentre study of self-harm. Soc Psychiatry Psychiatr Epidemiol. 2007;42:513–21.CrossRefPubMed Hawton K, Bergen H, Casey D, Simkin S, Palmer B, Cooper J, et al. Self-harm in England: a tale of three cities. Multicentre study of self-harm. Soc Psychiatry Psychiatr Epidemiol. 2007;42:513–21.CrossRefPubMed
11.
go back to reference Olfson M, Gameroff MJ, Marcus SC, Greenberg T, Shaffer D. Emergency treatment of young people following deliberate self-harm. Arch Gen Psychiatry. 2005;62:1122–8.CrossRefPubMed Olfson M, Gameroff MJ, Marcus SC, Greenberg T, Shaffer D. Emergency treatment of young people following deliberate self-harm. Arch Gen Psychiatry. 2005;62:1122–8.CrossRefPubMed
12.
go back to reference Chan CC, & Jezewski-Serra D. Hospitalisations et recours aux urgences pour tentative de suicide en France métropolitaine à partir du PMSI-MCO 2004–2011 et d’Oscour® 2007–2011. Saint-Maurice: Institut de veille sanitaire. 2014;25-34. Chan CC, & Jezewski-Serra D. Hospitalisations et recours aux urgences pour tentative de suicide en France métropolitaine à partir du PMSI-MCO 2004–2011 et d’Oscour® 2007–2011. Saint-Maurice: Institut de veille sanitaire. 2014;25-34.
14.
go back to reference Goldberg JF, Ernst CL, Bird S. Predicting hospitalization versus discharge of suicidal patients presenting to a psychiatric emergency service. Psychiatr Serv. 2007;58:561–5.CrossRefPubMed Goldberg JF, Ernst CL, Bird S. Predicting hospitalization versus discharge of suicidal patients presenting to a psychiatric emergency service. Psychiatr Serv. 2007;58:561–5.CrossRefPubMed
15.
go back to reference American Psychiatric Association (APA). Practice guideline for the assessment and treatment of patients with suicidal behaviors. 2010. American Psychiatric Association (APA). Practice guideline for the assessment and treatment of patients with suicidal behaviors. 2010.
16.
go back to reference Inskip HM, Harris EC, Barraclough B. Lifetime risk of suicide for affective disorder, alcoholism and schizophrenia. Br J Psychiatry J Ment Sci. 1998;172:35–7.CrossRef Inskip HM, Harris EC, Barraclough B. Lifetime risk of suicide for affective disorder, alcoholism and schizophrenia. Br J Psychiatry J Ment Sci. 1998;172:35–7.CrossRef
17.
go back to reference Murphy GE, Wetzel RD. The lifetime risk of suicide in alcoholism. Arch Gen Psychiatry. 1990;47:383–92.CrossRefPubMed Murphy GE, Wetzel RD. The lifetime risk of suicide in alcoholism. Arch Gen Psychiatry. 1990;47:383–92.CrossRefPubMed
19.
go back to reference Jiménez-Treviño L, Saiz PA, Corcoran P, Burón P, García-Portilla MP, Chinea ER, et al. Factors associated with hospitalization after suicide spectrum behaviors: results from a multicenter study in Spain. Arch Suicide Res Off J Int Acad Suicide Res. 2015;19:17–34.CrossRef Jiménez-Treviño L, Saiz PA, Corcoran P, Burón P, García-Portilla MP, Chinea ER, et al. Factors associated with hospitalization after suicide spectrum behaviors: results from a multicenter study in Spain. Arch Suicide Res Off J Int Acad Suicide Res. 2015;19:17–34.CrossRef
20.
go back to reference Baca-García E, Perez-Rodriguez MM, Basurte-Villamor I, Saiz-Ruiz J, Leiva-Murillo JM, de Prado-Cumplido M, et al. Using data mining to explore complex clinical decisions: a study of hospitalization after a suicide attempt. J Clin Psychiatry. 2006;67:1124–32.CrossRefPubMed Baca-García E, Perez-Rodriguez MM, Basurte-Villamor I, Saiz-Ruiz J, Leiva-Murillo JM, de Prado-Cumplido M, et al. Using data mining to explore complex clinical decisions: a study of hospitalization after a suicide attempt. J Clin Psychiatry. 2006;67:1124–32.CrossRefPubMed
21.
go back to reference Platt S, Bille-Brahe U, Kerkhof A, Schmidtke A, Bjerke T, Crepet P, et al. Parasuicide in Europe: the WHO/EURO multicentre study on parasuicide. I. Introduction and preliminary analysis for 1989. Acta Psychiatr Scand. 1992;85:97–104.CrossRefPubMed Platt S, Bille-Brahe U, Kerkhof A, Schmidtke A, Bjerke T, Crepet P, et al. Parasuicide in Europe: the WHO/EURO multicentre study on parasuicide. I. Introduction and preliminary analysis for 1989. Acta Psychiatr Scand. 1992;85:97–104.CrossRefPubMed
22.
go back to reference Sheehan DV, Lecrubier Y, Sheehan KH, Amorim P, Janavs J, Weiller E, et al. The Mini-International Neuropsychiatric Interview (M.I.N.I.): the development and validation of a structured diagnostic psychiatric interview for DSM-IV and ICD-10. J Clin Psychiatry. 1998;59(Suppl 20):22–33. quiz 34–57PubMed Sheehan DV, Lecrubier Y, Sheehan KH, Amorim P, Janavs J, Weiller E, et al. The Mini-International Neuropsychiatric Interview (M.I.N.I.): the development and validation of a structured diagnostic psychiatric interview for DSM-IV and ICD-10. J Clin Psychiatry. 1998;59(Suppl 20):22–33. quiz 34–57PubMed
23.
go back to reference Pierce DW. Suicidal intent in self-injury. Br J Psychiatry J Ment Sci. 1977;130:377–85.CrossRef Pierce DW. Suicidal intent in self-injury. Br J Psychiatry J Ment Sci. 1977;130:377–85.CrossRef
25.
go back to reference Suominen K, Lönnqvist J. Determinants of psychiatric hospitalization after attempted suicide. Gen Hosp Psychiatry. 2006;28:424–30.CrossRefPubMed Suominen K, Lönnqvist J. Determinants of psychiatric hospitalization after attempted suicide. Gen Hosp Psychiatry. 2006;28:424–30.CrossRefPubMed
26.
go back to reference Hepp U, Moergeli H, Trier SN, Milos G, Schnyder U. Attempted suicide: factors leading to hospitalization. Can J Psychiatry Rev Can Psychiatr. 2004;49:736–42.CrossRef Hepp U, Moergeli H, Trier SN, Milos G, Schnyder U. Attempted suicide: factors leading to hospitalization. Can J Psychiatry Rev Can Psychiatr. 2004;49:736–42.CrossRef
27.
go back to reference Schmidtke A, Bille-Brahe U, DeLeo D, Kerkhof A, Bjerke T, Crepet P, et al. Attempted suicide in Europe: rates, trends and sociodemographic characteristics of suicide attempters during the period 1989-1992. Results of the WHO/EURO multicentre study on Parasuicide. Acta Psychiatr Scand. 1996;93:327–38.CrossRefPubMed Schmidtke A, Bille-Brahe U, DeLeo D, Kerkhof A, Bjerke T, Crepet P, et al. Attempted suicide in Europe: rates, trends and sociodemographic characteristics of suicide attempters during the period 1989-1992. Results of the WHO/EURO multicentre study on Parasuicide. Acta Psychiatr Scand. 1996;93:327–38.CrossRefPubMed
28.
go back to reference Waterhouse J, Platt S. General hospital admission in the management of parasuicide. A randomised controlled trial. Br J Psychiatry J Ment Sci. 1990;156:236–42.CrossRef Waterhouse J, Platt S. General hospital admission in the management of parasuicide. A randomised controlled trial. Br J Psychiatry J Ment Sci. 1990;156:236–42.CrossRef
29.
go back to reference Marquet RL, Bartelds AIM, Kerkhof AJFM, Schellevis FG, van der Zee J. The epidemiology of suicide and attempted suicide in Dutch general practice 1983-2003. BMC Fam Pract. 2005;6:45.CrossRefPubMedPubMedCentral Marquet RL, Bartelds AIM, Kerkhof AJFM, Schellevis FG, van der Zee J. The epidemiology of suicide and attempted suicide in Dutch general practice 1983-2003. BMC Fam Pract. 2005;6:45.CrossRefPubMedPubMedCentral
30.
go back to reference Malhi GS, Outhred T, Das P, Morris G, Hamilton A, Mannie Z. Modeling suicide in bipolar disorders. Bipolar Disord. 2018;20(4):334-348. Malhi GS, Outhred T, Das P, Morris G, Hamilton A, Mannie Z. Modeling suicide in bipolar disorders. Bipolar Disord. 2018;20(4):334-348.
31.
go back to reference Goodman M, Roiff T, Oakes AH, Paris J. Suicidal risk and management in borderline personality disorder. Curr Psychiatry Rep. 2012;14:79–85.CrossRefPubMed Goodman M, Roiff T, Oakes AH, Paris J. Suicidal risk and management in borderline personality disorder. Curr Psychiatry Rep. 2012;14:79–85.CrossRefPubMed
32.
go back to reference Vijay NR, Links PS. New frontiers in the role of hospitalization for patients with personality disorders. Curr Psychiatry Rep. 2007;9:63–7.CrossRefPubMed Vijay NR, Links PS. New frontiers in the role of hospitalization for patients with personality disorders. Curr Psychiatry Rep. 2007;9:63–7.CrossRefPubMed
33.
go back to reference Paris J. Is hospitalization useful for suicidal patients with borderline personality disorder? J Personal Disord. 2004;18:240–7.CrossRef Paris J. Is hospitalization useful for suicidal patients with borderline personality disorder? J Personal Disord. 2004;18:240–7.CrossRef
34.
go back to reference Darvishi N, Farhadi M, Haghtalab T, Poorolajal J. Alcohol-related risk of suicidal ideation, suicide attempt, and completed suicide: a meta-analysis. PLoS One. 2015;10:e0126870.CrossRefPubMedPubMedCentral Darvishi N, Farhadi M, Haghtalab T, Poorolajal J. Alcohol-related risk of suicidal ideation, suicide attempt, and completed suicide: a meta-analysis. PLoS One. 2015;10:e0126870.CrossRefPubMedPubMedCentral
35.
go back to reference Monnin J, Thiemard E, Vandel P, Nicolier M, Tio G, Courtet P, et al. Sociodemographic and psychopathological risk factors in repeated suicide attempts: gender differences in a prospective study. J Affect Disord. 2012;136:35–43.CrossRefPubMed Monnin J, Thiemard E, Vandel P, Nicolier M, Tio G, Courtet P, et al. Sociodemographic and psychopathological risk factors in repeated suicide attempts: gender differences in a prospective study. J Affect Disord. 2012;136:35–43.CrossRefPubMed
36.
go back to reference Perquier F, Duroy D, Oudinet C, Maamar A, Choquet C, Casalino E, et al. Suicide attempters examined in a Parisian emergency department: contrasting characteristics associated with multiple suicide attempts or with the motive to die. Psychiatry Res. 2017;253:142–9.CrossRefPubMed Perquier F, Duroy D, Oudinet C, Maamar A, Choquet C, Casalino E, et al. Suicide attempters examined in a Parisian emergency department: contrasting characteristics associated with multiple suicide attempts or with the motive to die. Psychiatry Res. 2017;253:142–9.CrossRefPubMed
37.
go back to reference Conner KR, Hesselbrock VM, Schuckit MA, Hirsch JK, Knox KL, Meldrum S, et al. Precontemplated and impulsive suicide attempts among individuals with alcohol dependence. J Stud Alcohol. 2006;67:95–101.CrossRefPubMed Conner KR, Hesselbrock VM, Schuckit MA, Hirsch JK, Knox KL, Meldrum S, et al. Precontemplated and impulsive suicide attempts among individuals with alcohol dependence. J Stud Alcohol. 2006;67:95–101.CrossRefPubMed
38.
go back to reference Suokas J, Lönnqvist J. Suicide attempts in which alcohol is involved: a special group in general hospital emergency rooms. Acta Psychiatr Scand. 1995;91:36–40.CrossRefPubMed Suokas J, Lönnqvist J. Suicide attempts in which alcohol is involved: a special group in general hospital emergency rooms. Acta Psychiatr Scand. 1995;91:36–40.CrossRefPubMed
40.
go back to reference Simon OR, Swann AC, Powell KE, Potter LB, Kresnow MJ, O’Carroll PW. Characteristics of impulsive suicide attempts and attempters. Suicide Life Threat Behav. 2001;32:49–59.CrossRefPubMed Simon OR, Swann AC, Powell KE, Potter LB, Kresnow MJ, O’Carroll PW. Characteristics of impulsive suicide attempts and attempters. Suicide Life Threat Behav. 2001;32:49–59.CrossRefPubMed
41.
go back to reference Guthrie E, Patton GC, Kapur N, Mackway-Jones K, Chew-Graham C, Moorey J, et al. Randomised controlled trial of brief psychological intervention after deliberate self poisoningCommentary: another kind of talk that works? BMJ. 2001;323:135.CrossRefPubMedPubMedCentral Guthrie E, Patton GC, Kapur N, Mackway-Jones K, Chew-Graham C, Moorey J, et al. Randomised controlled trial of brief psychological intervention after deliberate self poisoningCommentary: another kind of talk that works? BMJ. 2001;323:135.CrossRefPubMedPubMedCentral
42.
go back to reference Bostwick JM, Pankratz VS. Affective disorders and suicide risk: a reexamination. Am J Psychiatry. 2000;157:1925–32.CrossRefPubMed Bostwick JM, Pankratz VS. Affective disorders and suicide risk: a reexamination. Am J Psychiatry. 2000;157:1925–32.CrossRefPubMed
43.
go back to reference Paris J. Chronic suicidality among patients with borderline personality disorder. Psychiatr Serv. 2002;53:738–42.CrossRefPubMed Paris J. Chronic suicidality among patients with borderline personality disorder. Psychiatr Serv. 2002;53:738–42.CrossRefPubMed
44.
go back to reference Simpson DD, Joe GW, Rowan-Szal GA, Greener JM. Drug abuse treatment process components that improve retention. J Subst Abus Treat. 1997;14:565–72.CrossRef Simpson DD, Joe GW, Rowan-Szal GA, Greener JM. Drug abuse treatment process components that improve retention. J Subst Abus Treat. 1997;14:565–72.CrossRef
45.
go back to reference Joe GW, Simpson DD, Broome KM. Retention and patient engagement models for different treatment modalities in DATOS. Drug Alcohol Depend. 1999;57:113–25.CrossRefPubMed Joe GW, Simpson DD, Broome KM. Retention and patient engagement models for different treatment modalities in DATOS. Drug Alcohol Depend. 1999;57:113–25.CrossRefPubMed
46.
go back to reference Davidson M, Galderisi S, Weiser M, Werbeloff N, Fleischhacker WW, Keefe RS, et al. Cognitive effects of antipsychotic drugs in first-episode schizophrenia and schizophreniform disorder: a randomized, open-label clinical trial (EUFEST). Am J Psychiatry. 2009;166:675–82.CrossRefPubMed Davidson M, Galderisi S, Weiser M, Werbeloff N, Fleischhacker WW, Keefe RS, et al. Cognitive effects of antipsychotic drugs in first-episode schizophrenia and schizophreniform disorder: a randomized, open-label clinical trial (EUFEST). Am J Psychiatry. 2009;166:675–82.CrossRefPubMed
47.
go back to reference Ruusa J, Bergman B, Sundell M-L. Alcohol withdrawal, psychological symptoms, and treatment success. Subst Abuse. 2000;21:129–35. Ruusa J, Bergman B, Sundell M-L. Alcohol withdrawal, psychological symptoms, and treatment success. Subst Abuse. 2000;21:129–35.
48.
go back to reference Ronzani TM, Higgins-Biddle J, Furtado EF. Stigmatization of alcohol and other drug users by primary care providers in Southeast Brazil. Soc Sci Med. 2009;69:1080–4.CrossRefPubMed Ronzani TM, Higgins-Biddle J, Furtado EF. Stigmatization of alcohol and other drug users by primary care providers in Southeast Brazil. Soc Sci Med. 2009;69:1080–4.CrossRefPubMed
49.
go back to reference Link BG, Phelan JC, Bresnahan M, Stueve A, Pescosolido BA. Public conceptions of mental illness: labels, causes, dangerousness, and social distance. Am J Public Health. 1999;89:1328–33.CrossRefPubMedPubMedCentral Link BG, Phelan JC, Bresnahan M, Stueve A, Pescosolido BA. Public conceptions of mental illness: labels, causes, dangerousness, and social distance. Am J Public Health. 1999;89:1328–33.CrossRefPubMedPubMedCentral
50.
go back to reference Pescosolido BA, Martin JK, Long JS, Medina TR, Phelan JC, Link BG. « a disease like any other »? A decade of change in public reactions to schizophrenia, depression, and alcohol dependence. Am J Psychiatry. 2010;167:1321–30.CrossRefPubMedPubMedCentral Pescosolido BA, Martin JK, Long JS, Medina TR, Phelan JC, Link BG. « a disease like any other »? A decade of change in public reactions to schizophrenia, depression, and alcohol dependence. Am J Psychiatry. 2010;167:1321–30.CrossRefPubMedPubMedCentral
51.
go back to reference Meltzer EC, Suppes A, Burns S, Shuman A, Orfanos A, Sturiano CV, et al. Stigmatization of substance use disorders among internal medicine residents. Subst Abuse. 2013;34:356–62.CrossRef Meltzer EC, Suppes A, Burns S, Shuman A, Orfanos A, Sturiano CV, et al. Stigmatization of substance use disorders among internal medicine residents. Subst Abuse. 2013;34:356–62.CrossRef
52.
go back to reference Ries RK, Yuodelis-Flores C, Comtois KA, Roy-Byrne PP, Russo JE. Substance-induced suicidal admissions to an acute psychiatric service: characteristics and outcomes. J Subst Abus Treat. 2008;34:72–9.CrossRef Ries RK, Yuodelis-Flores C, Comtois KA, Roy-Byrne PP, Russo JE. Substance-induced suicidal admissions to an acute psychiatric service: characteristics and outcomes. J Subst Abus Treat. 2008;34:72–9.CrossRef
Metadata
Title
Factors associated with hospitalization after self-poisoning in France: special focus on the impact of alcohol use disorder
Authors
Juliette Salles
Julie Calonge
Nicolas Franchitto
Emmanuelle Bougon
Laurent Schmitt
Publication date
01-12-2018
Publisher
BioMed Central
Published in
BMC Psychiatry / Issue 1/2018
Electronic ISSN: 1471-244X
DOI
https://doi.org/10.1186/s12888-018-1854-0

Other articles of this Issue 1/2018

BMC Psychiatry 1/2018 Go to the issue