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[医院及急救单位的自杀未遂登记]

[Registration of parasuicide at hospitals and emergency units].

作者信息

Engeland A, Wiik J, Lande G

机构信息

Statens institutt for folkehelse Postboks 4404 Nydalen 0403 Oslo.

出版信息

Tidsskr Nor Laegeforen. 2001 Mar 30;121(9):1033-7.

Abstract

BACKGROUND

Suicide attempts (or parasuicides) is an important health problem. A better system for follow-up and surveillance of this group of patients is needed for better prioritization of preventive measures.

MATERIAL AND METHODS

All self-inflicted injuries registered at the hospital and emergency ward in Stavanger, Norway, in 1992 were retrieved from the Norwegian National Injury Sample Registry (n = 403). The form for each patient was filled out on the basis of their hospital record; a judgment of whether the case was a parasuicide or not was made. Patients with a parasuicide in 1992 were followed for a period of on average 5.5 years with respect to new parasuicides.

RESULTS

Medication was used in 85% of the cases. About 15% of the parasuiciders went through a new episode within one year of the first registered parasuicide.

INTERPRETATION

The results from this study are consistent with findings in other epidemiological studies, and the registration used in this study can be carried out in hospitals and emergency wards without much effort. The registration form should be further developed and tested prospectively.

摘要

背景

自杀未遂(或准自杀)是一个重要的健康问题。为了更好地确定预防措施的优先级,需要一个更好的对这类患者进行随访和监测的系统。

材料与方法

从挪威国家伤害样本登记处检索了1992年在挪威斯塔万格医院和急诊科登记的所有自残伤害案例(n = 403)。根据每位患者的医院记录填写表格;判断该病例是否为准自杀。对1992年有过准自杀行为的患者就新的准自杀情况进行了平均5.5年的随访。

结果

85%的案例使用了药物。约15%的准自杀者在首次登记准自杀行为后的一年内经历了新的发作。

解读

本研究结果与其他流行病学研究结果一致,且本研究中使用的登记工作在医院和急诊科可以轻松开展。登记表格应进一步完善并进行前瞻性测试。

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