Design:

The AUBMC admissions, ED and ICD-9 clinical databases will be queried for the period between January 1, 2002 and June 30, 2014.

Retrospective database and chart review.

Objectives:

The primary objective of this study is to describe the characteristics of suicidal patients presenting to the emergency department of AUBMC in Last 12 years including clinical presentation, various age groups affected, management interventions whether clinical or psychiatric, outcomes and to determine the methods used in suicide.

Aims:

1- Identify predictors of suicidal attempts outcomes:

a) Demographic characteristics (gender, age)

b) History of previous attempts

c) History of psychiatric illness

d) Most common mechanisms used

e) Try to characterize patients that attempt suicide

f) Try to help guide efforts at primary or secondary intervention

g) Clinical interventions (Use of medications, antidotes and psychiatric consultations)

2- Assess outcomes including admission to psychiatric wards, critical care areas, disability or deaths.

3- Emphasis on Acetaminophen toxicity including time to presentation, percentage of patients who needed treatment, disposition, find the percentage of acetaminophen ingestion of total drug ingestions

Study Endpoints:

Primary Outcome: Describe magnitude of Suicide: Mechanisms used/Presentation/Outcomes

Secondary Outcomes:

•          Characteristics of patients presenting with suicidal attempts in Lebanon
•          Primary and secondary intervention against suicidal attempts

The study population will consist of patients presenting and admitted to AUBMC through AUBMC-ED over the past 12years (2002-2014). The AUBMC admissions, ED and ICD-9 clinical databases will be queried for the period between January 1, 2002 and June 30, 2014.

They will have Suicidal Attempts, medication overdose, poisoning, intentional injuries or intoxication as their final diagnosis. 

The AUBMC admissions, ED and ICD-9 clinical databases will be queried for the period between January 1, 2002 and June 30, 2014.