Clinical and epidemiological profiles of suicidal behavior in psychiatric emergency users: A 13-year retrospective study of 40,306 cases in Madrid, Spain

The gender paradox in suicidal behavior is reflected in diagnostic patterns and method choice. High recurrence of emergency presentations underscores the central role of PEDs as points of clinical contact, while the 29.1% gap in immediate psychiatric filiation represents an observed discontinuity in care pathways. These findings may help inform efforts to optimize triage processes and strengthen continuity of care following emergency presentations for suicidal behavior.