Morgan H G, Burns-Cox C J, Pocock H, Pottle S
Br J Psychiatry. 1975 Dec;127:564-74. doi: 10.1192/bjp.127.6.564.
In this study 368 patients were interviewed after they had attended the Bristol Royal Infirmary Accident and Emergency Department following a non-fatal act of deliberate self-harm. There were twice as many women (247) as men (121), and two thirds of the patients were in the 15-35 age group. Ninety-five per cent had taken a drug overdose, most commonly one or more of the tranquillizers, antidepressants, hypnotics or analgesics. Seventy-eight per cent had taken drugs prescribed by a doctor. Half the patients mentioned interpersonal conflict as a major precipitating factor in the episode. A psychiatric diagnosis was completed for all admitted patients, of whom 52 per cent were considered to be suffering from neurotic depression, 29 per cent from personality disorder, 12 per cent from functional psychosis and 10 per cent from alcohol addiction. Almost half had deliberately harmed themselves on a previous occasion. The series showed a greater than average incidence of unemployment, overcrowded living conditions, divorce and antisocial behaviour. The implications of these findings for the clinical management and prevention of non-fatal deliberate self-harm are discussed.
在这项研究中，368名患者在因非致命性蓄意自我伤害事件前往布里斯托尔皇家医院事故与急诊部就诊后接受了访谈。女性患者（247名）人数是男性患者（121名）的两倍，三分之二的患者年龄在15至35岁之间。95%的患者过量服用药物，最常见的是一种或多种镇静剂、抗抑郁药、安眠药或镇痛药。78%的患者服用的是医生开的药。一半的患者提到人际冲突是此次事件的主要诱发因素。对所有入院患者都进行了精神病学诊断，其中52%被认为患有神经症性抑郁症，29%患有个性障碍，12%患有功能性精神病，10%患有酒精成瘾。几乎一半的患者曾在之前有过蓄意自我伤害行为。该系列研究显示，失业、居住条件拥挤、离婚和反社会行为的发生率高于平均水平。本文讨论了这些研究结果对非致命性蓄意自我伤害的临床管理和预防的意义。
