Bhatia M S, Aggarwal N K, Aggarwal B B
Department of Psychiatry, University College of Medical Sciences & Guru Tegh Bahadur Hospital, Dilshad Garden, Delhi, India.
Int J Soc Psychiatry. 2000 Autumn;46(3):155-63. doi: 10.1177/002076400004600301.
The study aims to determine the psychological profile of suicide ideators, attempters and completers in a tertiary care teaching hospital. A total of 260 suicidal ideators, 58 attempters and 55 completers were studied. The majority of ideators, attempters and completers were 26-35 years of age, males (except attempters who were predominantly females), married, literate up to high school, employed (ideators) or housewives (attempters and completers). The suicide ideators, attempters and completers who had a past history of attempt were 6.9%, 24.1% and 18.2% respectively. Family history of attempted suicide or completed suicide was also common among patients suffering from depression. In suicidal ideators, mixed anxiety and depressive disorder was the most common psychiatric diagnosis followed by major depression and schizophrenia. Among suicide attempters, adjustment disorder with depression was the most common diagnosis. The most common method of suicide attempt was organophosphorus compound intake whereas in suicide completers, the most common method in use was hanging. The patients with suicidal ideation or attempt need careful evaluation, early intervention and long term follow up.
该研究旨在确定一家三级护理教学医院中存在自杀意念者、自杀未遂者和自杀成功者的心理特征。共对260名有自杀意念者、58名自杀未遂者和55名自杀成功者进行了研究。大多数有自杀意念者、自杀未遂者和自杀成功者年龄在26至35岁之间，为男性（自杀未遂者除外，其以女性为主），已婚，高中及以下文化程度，有工作（有自杀意念者）或为家庭主妇（自杀未遂者和自杀成功者）。有过自杀未遂史的有自杀意念者、自杀未遂者和自杀成功者分别占6.9%、24.1%和18.2%。有自杀未遂或自杀成功家族史在抑郁症患者中也很常见。在有自杀意念者中，混合性焦虑和抑郁障碍是最常见的精神科诊断，其次是重度抑郁症和精神分裂症。在自杀未遂者中，伴有抑郁的适应障碍是最常见的诊断。最常见的自杀未遂方式是摄入有机磷化合物，而在自杀成功者中，最常用的方式是上吊。有自杀意念或自杀未遂的患者需要仔细评估、早期干预和长期随访。
