Background: Rates of hospital admission for suicide-related thoughts and behaviors (SRTBs) are elevated in the Northern Territory (NT) of Australia, especially by Aboriginal people, but very little is known about emergency department (ED) presentations. Aim: We aimed to profile ED presentations in the NT involving SRTBs by Indigenous status and compare discharge arrangements. Method: Logistic regression analyses were performed on data from electronic patient records of consecutive ED presentations involving SRTBs. Results: During the study period, 167 presentations were observed. Aboriginal patients were more likely to present from remote areas and to report substance misuse and family conflict or violence compared with non-Aboriginal patients. In both groups, males were more likely than females to be admitted as were persons presenting with self-harm compared with those who had suicidal thoughts only. No differences in discharge arrangements were identified by Indigenous status. Limitations: The small scale of the study and use of administrative records points to the need for further research to improve the quality of the evidence. Conclusion: While presentations by high-risk groups are more likely to be admitted for further care, the assessment of psychosocial risks and needs in EDs is vital to informing decisions for aftercare that support recovery in the community for Aboriginal patients and patients discharged from EDs.

中文翻译：

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原住民和非原住民急诊部的报告涉及与自杀相关的想法和行为。

背景：澳大利亚北领地 (NT) 的自杀相关想法和行为 (SRTB) 住院率有所上升，尤其是原住民，但对急诊科 (ED) 的介绍知之甚少。目的：我们旨在按原住民状态描述北领地涉及 SRTB 的 ED 介绍，并比较出院安排。方法：对来自涉及 SRTB 的连续 ED 演示的电子患者记录的数据进行逻辑回归分析。结果：在研究期间，观察到 167 次演示。与非原住民患者相比，原住民患者更有可能来自偏远地区并报告药物滥用和家庭冲突或暴力。在两组中，男性比女性更有可能被录取，与只有自杀念头的人相比，有自残倾向的人也更容易被录取。原住民身份没有发现排放安排的差异。局限性：研究和行政记录的使用规模较小，表明需要进一步研究以提高证据质量。结论：虽然高危人群的就诊更有可能接受进一步治疗，但对 ED 的社会心理风险和需求的评估对于告知支持土著患者和从 ED 出院的患者在社区康复的后续护理决策至关重要。行政记录的研究和使用规模较小，表明需要进一步研究以提高证据质量。结论：虽然高危人群的就诊更有可能接受进一步治疗，但对 ED 的社会心理风险和需求的评估对于告知支持土著患者和从 ED 出院的患者在社区康复的后续护理决策至关重要。行政记录的研究和使用规模较小，表明需要进一步研究以提高证据质量。结论：虽然高危人群的就诊更有可能接受进一步治疗，但对 ED 的社会心理风险和需求的评估对于告知支持土著患者和从 ED 出院的患者在社区康复的后续护理决策至关重要。