دورية أكاديمية
Primary care consultation patterns before suicide: a nationally representative case-control study.
| العنوان: | Primary care consultation patterns before suicide: a nationally representative case-control study. |
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| المؤلفون: | Alothman D; School of Medicine, University of Nottingham, Nottingham., Lewis S; School of Medicine, University of Nottingham, Nottingham., Fogarty AW; School of Medicine, University of Nottingham, Nottingham., Card T; School of Medicine, University of Nottingham, Nottingham., Tyrrell E; School of Medicine, University of Nottingham, Nottingham. |
| المصدر: | The British journal of general practice : the journal of the Royal College of General Practitioners [Br J Gen Pract] 2024 Jun 27; Vol. 74 (744), pp. e426-e433. Date of Electronic Publication: 2024 Jun 27 (Print Publication: 2024). |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Royal College of General Practitioners Country of Publication: England NLM ID: 9005323 Publication Model: Electronic-Print Cited Medium: Internet ISSN: 1478-5242 (Electronic) Linking ISSN: 09601643 NLM ISO Abbreviation: Br J Gen Pract Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: London : Royal College of General Practitioners |
| مواضيع طبية MeSH: | Primary Health Care* , Suicide*/statistics & numerical data , Suicide*/psychology , Referral and Consultation*/statistics & numerical data, Humans ; Male ; Female ; Case-Control Studies ; Adult ; England/epidemiology ; Middle Aged ; Adolescent ; Young Adult ; Risk Factors ; Aged ; Mental Disorders/epidemiology ; Risk Assessment ; Suicide Prevention |
| مستخلص: | Background: Consultation with primary healthcare professionals may provide an opportunity to identify patients at higher suicide risk. Aim: To explore primary care consultation patterns in the 5 years before suicide to identify suicide high-risk groups and common reasons for consulting. Design and Setting: This was a case-control study using electronic health records from England, 2001 to 2019. Method: An analysis was undertaken of 14 515 patients aged ≥15 years who died by suicide and up to 40 matched live controls per person who died by suicide ( n = 580 159), ( N = 594 674). Results: Frequent consultations (>1 per month in the final year) were associated with increased suicide risk (age- and sex -adjusted odds ratio [OR] 5.88, 95% confidence interval [CI] = 5.47 to 6.32). The associated rise in suicide risk was seen across all sociodemographic groups as well as in those with and without psychiatric comorbidities. However, specific groups were more influenced by the effect of high-frequency consultation (>1 per month in the final year) demonstrating higher suicide risk compared with their counterparts who consulted once: females (adjusted OR 9.50, 95% CI = 7.82 to 11.54), patients aged 15-<45 years (adjusted OR 8.08, 95% CI = 7.29 to 8.96), patients experiencing less socioeconomic deprivation (adjusted OR 6.56, 95% CI = 5.77 to 7.46), and those with psychiatric conditions (adjusted OR 4.57, 95% CI = 4.12 to 5.06). Medication review, depression, and pain were the most common reasons for which patients who died by suicide consulted in the year before death. Conclusion: Escalating or more than monthly consultations are associated with increased suicide risk regardless of patients' sociodemographic characteristics and regardless of the presence (or absence) of known psychiatric illnesses. (© The Authors.) |
| التعليقات: | Comment in: Br J Gen Pract. 2024 Jul 25;74(745):346. doi: 10.3399/bjgp24X738825. (PMID: 39054104) |
| فهرسة مساهمة: | Keywords: consultation; family practice; general practice; primary health care; suicide |
| تواريخ الأحداث: | Date Created: 20240208 Date Completed: 20240627 Latest Revision: 20240725 |
| رمز التحديث: | 20240726 |
| مُعرف محوري في PubMed: | PMC11157587 |
| DOI: | 10.3399/BJGP.2023.0509 |
| PMID: | 38331442 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 1478-5242 |
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| DOI: | 10.3399/BJGP.2023.0509 |