Suicide in a psychiatric emergency room population

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Abstract
Suicides (22) were identified in a series of 5284 psychiatric emergency room patients, yielding a suicide rate of 111.1/100,000 patient-yr at risk.sbd.more than 7 times the age- and sex-adjusted rate for the general population. Subpopulations at high risk were white people, men, depressed and schizophrenic patients, substance abusers and patients with multiple emergency room visits. No patients had killed themselves immediately after an emergency room visit, but several had killed themselves without following through on a referral from the emergency room to another facility for treatment. The implications of these findings for emergency room practice and for further research is discussed.

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