Authors’ contributions: FUL designed the study and wrote the first draft of the manuscript. NH and ADL carried out the data collection. MK performed the statistical analysis. FUL and TM and MJ participated in the study design and coordination and helped to draft the manuscript. All authors read and approved the final manuscript.
To analyze suicidal care episodes in emergency medical responses in Germany.
Anonymized data from emergency care episodes in Ulm from 2004 to 2013 were analyzed retrospectively.
158 of 933 psychiatric emergencies (16 %) were suicide related, including 14 completed suicides, 25 care episodes with suicidal ideation, and 119 suicide attempts. Significantly more men than women completed suicide (χ²(2,N = 934) = 12.70, p = 0.02). 93 % of the total psychiatric emergencies received any medication at all, and only about 33 % were transported to a psychiatric hospital.
Psychiatric treatment for suicidality in emergency medicine requires improvement to ensure that patients receive adequate therapy.