Firearm suicide mortality among emergency department patients with physical health problems.

摘要: Abstract Purpose Individuals with poor physical and mental health may face elevated risk for suicide, particularly suicide by firearm. Methods This retrospective cohort study used statewide, longitudinally linked emergency department (ED) patient record mortality data to examine 12-month incidence of firearm among ED patients presenting a range problems. Participants included all residents California in 2009–2013 nonfatal visits somatic diagnoses hypothesized increase risk, including myocardial infarction, congestive heart failure, cerebrovascular disease, chronic obstructive pulmonary diabetes, cancer, back pain, headache, joint disorder, injuries. For each diagnostic group, we calculated rates per 100,000 person-years standardized ratios (SMRs) relative the demographically matched population. Results Firearm ranged from 9.6 (among unintentional injury) 55.1 (patients cancer diagnoses), SMRs 1.48 7.45 (all p  Conclusions deliberate self-harm injuries, substance use, were especially at suicide. To avoid missed prevention opportunities, EDs should implement evidence-based interventions as best practice their patients.