August 1, 2025
Publications
>
Article
No

The impact of the Catalonia Suicide Risk Code (CSRC) in a tertiary hospital: Reduction in hospitalizations and emergency room visits for any reason but not for suicide attempt.

Publicated to: Revista de Psiquiatria y Salud Mental. 16 (2): 68-75 - 2023-06-01 16(2), DOI: 10.1016/j.rpsm.2021.05.004

Authors:

Gomes-da-Costa, Susana; Sole, Eva; Williams, Evelyn; Gimenez, Anna; Garriga, Marina; Pacchiarotti, Isabella; Vazquez, Mireia; Cavero, Myriam; Blanch, Jordi; Perez, Victor; Palao, Diego; Vieta, Eduard; Verdolini, Norma
[+]

Affiliations

- Author

Abstract

INTRODUCTION: Suicide attempts represent a public health concern. The objective of this study is to describe the clinical characteristics of patients visiting an emergency room for a suicide attempt and included in a suicide prevention program, the Catalonia Suicide Risk Code (CSRC), particularly focusing on the follow-up evaluations.MATERIALS AND METHODS: The CSRC program is divided in 3 phases: (1) alert and activation, (2) proactive telephone and face-to-face follow-up and (3) comprehensive preventive health monitoring. This is the analysis of the sample of patients attempting or intending suicide who were seen at a tertiary hospital in Barcelona, and their 1-year follow-up outcome.RESULTS: Three hundred and sixty-five patients were included. In 15% of the cases, there was no previous psychiatric history but in the majority of cases, a previous psychiatric diagnosis was present. The most common type of suicide attempt was by drug overdose (84%). Up to 66.6% of the patients attended the scheduled follow-up visit in the CSRC program. A significant reduction in the proportion of patients visiting the emergency room for any reason (but not specifically for a suicide attempt) and being hospitalized in the first semester in comparison with the second six months after the CSRC activation (30.1% versus 19.9%, p=0.006; 14.1% versus 5.8%, p=0.002) was observed.CONCLUSIONS: The clinical risk factors and the findings of the CSRC helped in the characterization of suicide attempters. The CSRC may contribute to reduce hospitalizations and the use of mental health care resources, at least in the short-term.
[+]

Keywords

Emergency service, hospitalFactores de riesgoFactors de risc en les malaltiesFollow-upHospitalizationHumansIntento de suicidioMental healthPrevención del suicidioPublic mental healthRisk factorsRisk factors in diseasesSalud mental públicaSalut mentalSeguimientoSpainSuicideSuicide attemptSuicide preventionSuicide, attemptedSuïcidiSuicidioTertiary care centers

Quality index

Bibliometric impact. Analysis of the contribution and dissemination channel

The work has been published in the journal Revista de Psiquiatria y Salud Mental due to its progression and the good impact it has achieved in recent years, according to the agency WoS (JCR), it has become a reference in its field. In the year of publication of the work, 2023, it was in position 32/279, thus managing to position itself as a Q1 (Primer Cuartil), in the category Psychiatry.

Independientemente del impacto esperado determinado por el canal de difusión, es importante destacar el impacto real observado de la propia aportación.

Según las diferentes agencias de indexación, el número de citas acumuladas por esta publicación hasta la fecha 2026-04-06:

  • WoS: 2
  • Scopus: 3
  • Europe PMC: 1
[+]

Impact and social visibility

From the perspective of influence or social adoption, and based on metrics associated with mentions and interactions provided by agencies specializing in calculating the so-called "Alternative or Social Metrics," we can highlight as of 2026-04-06:

  • The use of this contribution in bookmarks, code forks, additions to favorite lists for recurrent reading, as well as general views, indicates that someone is using the publication as a basis for their current work. This may be a notable indicator of future more formal and academic citations. This claim is supported by the result of the "Capture" indicator, which yields a total of: 41 (PlumX).

It is essential to present evidence supporting full alignment with institutional principles and guidelines on Open Science and the Conservation and Dissemination of Intellectual Heritage. A clear example of this is:

[+]

Leadership analysis of institutional authors

There is a significant leadership presence as some of the institution’s authors appear as the first or last signer, detailed as follows: First Author (Solé Roigé, Eva) and Last Author (Verdolini, Norma).

[+]

Related Items