SUICIDAL-BEHAVIOR AND COMMUNITY MENTAL-HEALTH-CARE IN EMILIA-ROMAGNA (ITALY)

Parasuicide and aftercare treatment in a Community Mental Health Servi ce (CMHS) were studied both retrospectively and prospectively. Data we re extracted from CMHS Epidemiological Register. Six hundred and fifty persons were recruited (450 F, 200 M), referring to 779 parasuicide e pisodes. Higher rates (102/100,000) were observed in females in the ag e class fifteen to twenty-four, while the general rate was 52.79. Psyc hiatric care was studied for 311 suicide attempters, subsequently divi ded in three Groups. Thirty-nine subjects (12.5%) previously unknown a t CMHS resulted to receive psychiatric treatment after follow up (GROU P 1), while seventy-two attempters (23.15%) with previous contact (GRO UP 2) remained mostly (16.4%) in contact; two-hundred subjects (64.3%) without previous contact were still unknown after parasuicide (GROUP 3). Parasuicide repetition was higher for Group 2, while suicide incid ence was higher for Group 1. Results suggest that most people skip psy chiatric care before and after parasuicide.