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功能性精神病中的自杀未遂与自杀

Attempted suicide and suicide in functional psychoses.

作者信息

Noreik K

出版信息

Acta Psychiatr Scand. 1975 Aug;52(2):81-106. doi: 10.1111/j.1600-0447.1975.tb00026.x.

Abstract

A total of 2,243 first admissions to Gaustad Hospital between 1938 and 1961 diagnosed as functional psychotics were either followed up to the time of their death within 5 years, or observed over a period of 5 years, and then reexamined. Of these patients, 325 had attempted suicide prior to their admission. The frequency of attempted suicide was equal in both sexes. Men appeared to use more dangerous methods, and to have more serious intentions. The psychosis appears to have been of importance when considering whether, but not how the suicide should be attempted. The greatest risk of attempted suicide was to be found amongst patients with psychoses of a depressive nature. Twenty-eight of the 2,243 patients in this study committed suicide within 5 years following their discharge, and a further 20 took their own lives prior to the reexamination. A certain connection can be seen between attempted suicide and psychotic symptoms.

摘要

1938年至1961年间首次入住高斯塔德医院且被诊断为功能性精神病患者共2243例,这些患者要么在5年内随访至死亡,要么观察5年,然后进行复查。在这些患者中,325例在入院前曾试图自杀。自杀未遂的发生率在男女中相等。男性似乎使用更危险的方法,且意图更严重。在考虑是否尝试自杀而非如何尝试自杀时,精神病似乎很重要。自杀未遂的最大风险出现在患有抑郁性精神病的患者中。本研究中2243例患者中有28例在出院后5年内自杀,另有20例在复查前自杀。自杀未遂与精神病症状之间可以看出一定的联系。

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