Author

Pamela Joshi

Date of Award

2006

Degree Type

Thesis

Degree Name

Master of Science

Program

Epidemiology and Biostatistics

Supervisor

Dr. Jeffrey Hoch

Second Advisor

Dr. Kathy Speechley

Abstract

The objective of this thesis was to examine emergency department (ED) management of index episodes of attempted suicide in the Metropolitan Toronto Area (MTA). Descriptive analyses indicated females visiting EDs for attempted suicides were systematically different in patient characteristics compared to males. Logistic regression models assessed 1) whether female sex and other patient characteristics were associated with discharge outcomes (a proxy measure of service provision); and 2) which patient characteristics were associated with receipt of evidence based care for attempted suicide. Females differed from males proportionally in the following patient characteristics: psychiatric illness, triage level and nature of injury. Female sex was associated with increased odds of discharge to home (OR=1.77, 95%CI=1.18-2.68). EDs responded to women’s increased risks by discharging them to home. Little is known regarding the context of discharge to home and it should be investigated further. Female sex was not associated with receipt or non-receipt of evidence based care

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