Dual Diagnosis and Suicide Risk in a Spanish Outpatient Sample
In: Substance use & misuse: an international interdisciplinary forum, Band 47, Heft 4, S. 383-389
ISSN: 1532-2491
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In: Substance use & misuse: an international interdisciplinary forum, Band 47, Heft 4, S. 383-389
ISSN: 1532-2491
7 pages, no figures.-- Published online Sep 18, 2009. ; [Background] Intimate partner violence (IPV) is a public health problem with significant consequences on women's health. This study estimates the prevalence of intimate partner violence by type among Madrid's female population and assesses the association with socio-economic variables. ; [Methods] We conducted a cross-sectional study in 2004, 2136 women aged 18–70 years, living in the Madrid region with a partner or who had been in contact with an ex-partner in the previous year, were interviewed by telephone. The questionnaire used to measure past-year intimate partner violence, consisted of a Spanish translation of the psychological and sexual violence module of the French National Survey on Violence against Women, and the physical violence module of the Conflict Tactics Scale-1. To assess the association with socio-economic factors, logistic regression models were fitted. ; [Results] About 10.1% [confidence interval (CI) 8.9–11.5] of the women had suffered some type of IPV in the previous year. 8.6% (CI 7.4–9.8) experienced psychological violence, 2.4% (CI 1.8–3.1) physical violence and 1.1% (CI 0.68–1.6) sexual violence; the prevalence of psychological-only violence (non-physical/non-sexual) was 6.9% (CI 5.8–8.0). Factors associated with psychological-only violence were divorced or separated status and Group III (clerical workers; supervisors of manual workers) or V (unskilled manual workers) occupation. Unemployment and divorced or separated status were associated with physical violence. ; [Conclusions] Spanish women in our study, experienced past year partner violence at a similar level as in other industrialized countries. Unemployment and low occupational status are associated with physical and psychological-only violence, respectively. ; Funded by: Dirección General de Salud Pública; Agencia Laín Entralgo; Consejeria de Sanidad y Consumo, Comunidad de Madrid (Public Health General Directorate; Health and Consumers affairs Authority. Regional Government of the Madrid Region). ; Publicado
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In: Crisis: the journal of crisis intervention and suicide prevention, Band 32, Heft 2, S. 65-73
ISSN: 2151-2396
Background: Suicide prevention can be improved by knowing which variables physicians take into account when considering hospitalization or discharge of patients who have attempted suicide. Aims: To test whether suicide risk is an adequate explanatory variable for predicting admission to a psychiatric unit after a suicide attempt. Methods: Analyses of 840 clinical records of patients who had attempted suicide (66.3% women) at four public general hospitals in Madrid (Spain). Results: 180 (21.4%) patients were admitted to psychiatric units. Logistic regression analyses showed that explanatory variables predicting admission were: male gender; previous psychiatric hospitalization; psychiatric disorder; not having a substance-related disorder; use of a lethal method; delay until discovery of more than one hour; previous attempts; suicidal ideation; high suicidal planning; and lack of verbalization of adequate criticism of the attempt. Conclusions: Suicide risk appears to be an adequate explanatory variable for predicting the decision to admit a patient to a psychiatric ward after a suicide attempt, although the introduction of other variables improves the model. These results provide additional information regarding factors involved in everyday medical practice in emergency settings.