{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,18]],"date-time":"2026-10-18T03:18:50Z","timestamp":1792293530371,"version":"4.4.0"},"reference-count":16,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2026,5,25]],"date-time":"2026-05-25T00:00:00Z","timestamp":1779667200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,5,25]],"date-time":"2026-05-25T00:00:00Z","timestamp":1779667200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["PCN Reports"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>The SAD PERSONS scale (SPS) assesses the risk of future suicide attempts; however, its utility in patients with severe physical injuries is unclear. This study explored the association between high SPS scores and subsequent psychiatric admission (SPA) among patients transported to a tertiary emergency center following suicide attempts.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This single\u2010center, retrospective observational study included patients transported to our tertiary emergency center between January 1, 2019, and December 31, 2023. Patients were enrolled based on their scores on the SPS: \u22655 points (High SPS group) or &lt;5 points (Low SPS group). The primary outcome was SPA; the secondary outcomes were physical complications, length of stay in the emergency department, involuntary psychiatric admission, and re\u2010suicide attempts in the general ward.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Of 199 patients, 58 (29.1%) were in the High SPS group and 141 (70.9%) in the Low SPS group, with 67 SPA and 61 involuntary admissions. The High SPS group had significantly higher SPA than the Low SPS group (67.2% vs. 19.9%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.01). Physical complications, length of stay in the emergency department, and involuntary psychiatric admissions were significantly higher in the High SPS group than in the Low SPS group. Re\u2010suicide attempts in the general ward did not significantly increase. Multiple logistic regression analysis revealed that an SPS score of \u22655 points was significantly associated with SPA (odds ratio 6.97; 95% confidence interval, 2.85\u201317.1;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.01).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>High SPS scores are associated with SPA. This finding helps emergency physicians predict psychiatric consultations and admission.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/pcn5.70342","type":"journal-article","created":{"date-parts":[[2026,5,25]],"date-time":"2026-05-25T09:38:08Z","timestamp":1779701888000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["High SAD PERSONS scale scores are associated with subsequent psychiatric admission after suicide attempts: A single\u2010center retrospective study"],"prefix":"10.1002","volume":"5","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9796-8306","authenticated-orcid":false,"given":"Tatsunori","family":"Nagamura","sequence":"first","affiliation":[{"name":"Department of Traumatology and Critical Care Medicine National Defense Medical College Saitama Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3002-5343","authenticated-orcid":false,"given":"Takero","family":"Terayama","sequence":"additional","affiliation":[{"name":"Department of Traumatology and Critical Care Medicine National Defense Medical College Saitama Japan"},{"name":"Department of Emergency and Critical Care Medicine Japan Self\u2010Defense Force Central Hospital Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kohei","family":"Yamada","sequence":"additional","affiliation":[{"name":"Department of Traumatology and Critical Care Medicine National Defense Medical College Saitama Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hiroyuki","family":"Toda","sequence":"additional","affiliation":[{"name":"Department of Psychiatry National Defense Medical College Saitama Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tetsuro","family":"Kiyozumi","sequence":"additional","affiliation":[{"name":"Department of Traumatology and Critical Care Medicine National Defense Medical College Saitama Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,5,25]]},"reference":[{"key":"e_1_2_12_2_1","unstructured":"Ministry of Health Labour and Welfare Tokyo. Suicide in 2023 [homepage on the internet]. Accessed 5 May 2025. Available from:https:\/\/www.mhlw.go.jp\/content\/001236073.pdf(in Japanese)."},{"key":"e_1_2_12_3_1","unstructured":"Ministry of Health Labour and Welfare Tokyo. Age group number of deaths by sex death rates and composition by cause of death rank [homepage on the internet]. Accessed 5 May 2025. Available from:https:\/\/www.mhlw.go.jp\/toukei\/saikin\/hw\/jinkou\/suii09\/deth8.html(in Japanese)."},{"key":"e_1_2_12_4_1","unstructured":"Ministry of Health Labour and Welfare Tokyo. Circumstances of suicide attempts [homepage on the internet]. Accessed 5 May 2025. Available from:https:\/\/www.mhlw.go.jp\/content\/r3h-1-1-08.pdf(in Japanese)."},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0033-3182(83)73213-5"},{"key":"e_1_2_12_6_1","first-page":"589","article-title":"Usefulness of SAD PERSONS scale for hospitalized indication of suicide attempt patients","volume":"23","author":"Okamoto N","year":"2020","journal-title":"J Jpn Soc Emerg Med"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.bp.116.189993"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/da.22632"},{"key":"e_1_2_12_9_1","doi-asserted-by":"crossref","first-page":"S247","DOI":"10.1111\/j.1440-1819.1998.tb03235.x","article-title":"From mental health law to mental health and welfare law","volume":"52","author":"Asai K","year":"1998","journal-title":"Psychiatry Clin Neurosci"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1136\/emermed-2013-202781"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajem.2015.08.013"},{"key":"e_1_2_12_12_1","unstructured":"OECD Paris Data Explorer. Hospitals beds by function of healthcare [homepage on the internet]. Accessed 5 May 2025. Available from:https:\/\/data-explorer.oecd.org\/vis?lc=en&df[ds]=dsDisseminateFinalDMZ&df[id]=DSD_HEALTH_REAC_HOSP%40DF_BEDS_FUNC&df[ag]=OECD.ELS.HD&dq=\u2026\u2026_T.&pd=2015%2C&to[TIME_PERIOD]=false&vw=tb."},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1017\/gmh.2023.18"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1002\/jclp.20621"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12888-018-1693-z"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2025.1554971"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.bp.116.182717"}],"container-title":["Psychiatry and Clinical Neurosciences Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/pcn5.70342","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/pcn5.70342","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/pcn5.70342","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T09:42:42Z","timestamp":1782466962000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/pcn5.70342"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5,25]]},"references-count":16,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2026,6]]}},"alternative-id":["10.1002\/pcn5.70342"],"URL":"https:\/\/doi.org\/10.1002\/pcn5.70342","archive":["Portico"],"relation":{},"ISSN":["2769-2558","2769-2558"],"issn-type":[{"value":"2769-2558","type":"print"},{"value":"2769-2558","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,5,25]]},"assertion":[{"value":"2025-08-22","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-04-29","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-05-25","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70342"}}