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What comes next? A cross-sectional study on post-discharge referrals of adolescents treated in emergency services following a suicide attempt.
Souza, Danton Matheus de; Treichel, Carlos Alberto Dos Santos; Ribeiro, Lucca Garcia Moreira; Boska, Gabriella de Andrade; Rossato, Lisabelle Mariano.
Afiliación
  • Souza DM; Department of Maternal-Child and Psychiatric Nursing, School of Nursing, University of São Paulo, São Paulo, São Paulo, Brazil.
  • Treichel CADS; Department of Maternal-Child and Psychiatric Nursing, School of Nursing, University of São Paulo, São Paulo, São Paulo, Brazil.
  • Ribeiro LGM; Department of Maternal-Child and Psychiatric Nursing, School of Nursing, University of São Paulo, São Paulo, São Paulo, Brazil.
  • Boska GA; Department of Professional Assistance and Guidance, School of Nursing, Federal University of Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil.
  • Rossato LM; Department of Maternal-Child and Psychiatric Nursing, School of Nursing, University of São Paulo, São Paulo, São Paulo, Brazil.
J Clin Nurs ; 2024 Jul 23.
Article en En | MEDLINE | ID: mdl-39041390
ABSTRACT

AIM:

To assess the proportions and associated factors of different post-discharge referrals among adolescents treated in the emergency department after a suicide attempt.

DESIGN:

Observational, cross-sectional retrospective study.

METHODS:

We conducted a study using the medical records of 140 adolescents treated for a suicide attempt between January 2015 and May 2023 in a Brazilian emergency department, focusing on post-discharge referrals, defined as discharge without referral, unaddressed referral and referral addressed to the network. Associations between the outcomes and other variables were analysed using a Poisson regression model.

RESULTS:

Discharges without referrals prevailed, followed by addressed and unaddressed referrals. Regression models showed associations between post-discharge and age, prior continuous use of psychotropic medications, location of care, continued suicidal ideation at discharge and evaluation by a multi-professional team.

CONCLUSION:

A high number of adolescents were discharged from emergency departments without co-ordination with the mental health network, and the involvement of the multi-professional team was positively associated with addressed referrals. IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CARE This study informs healthcare professionals by raising awareness of their practices in discharging adolescents after suicide attempts in emergency departments, with the possibility of improving care quality and reducing the likelihood of readmission. REPORTING

METHOD:

STrengthening the Reporting of OBservational studies in Epidemiology (STROBE). PATIENT OR PUBLIC CONTRIBUTION No patient or public contribution.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: J Clin Nurs Asunto de la revista: ENFERMAGEM Año: 2024 Tipo del documento: Article País de afiliación: Brasil Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: J Clin Nurs Asunto de la revista: ENFERMAGEM Año: 2024 Tipo del documento: Article País de afiliación: Brasil Pais de publicación: Reino Unido