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[一家普通内科诊所应对自杀未遂患者的负担]

[The burden of a general medical clinic with patients after suicide attempts].

作者信息

Osterwalder R, Uffer G A, Senn H J

出版信息

Schweiz Med Wochenschr. 1976 Dec 4;106(49):1756-8.

PMID:13489
Abstract

All 125 patients who entered the "suicide ward" of the Medical Department of a large public hospital during 1974 were analyzed according to age and sex distribution, duration of hospital stay, motivation and method of committing suicide and fate after recovering from the acute phase of intoxication. Motivation to commit suicide was mainly due to conflicting interpersonal relations. Suicide attempts were 3 times more frequent in women than in men. 49% of all suicide attempts were considered to be of the "cry for help" variety and 29% were classified as obviously ineffective but serious attempts of self-killing. The remaining 22% of patients wanted to mark a "caesura" in their lives. Since the early phase of recovery is of utmost importance for the patient's future, medical and nursing staff have to be trained and experienced in coping with the suicide patient's numerous problems. The permanent collaboration of an experienced psychiatrist within the staff of larger acute-phase hospitals is highly desirable in order to analyze the underlying social and medical problems, assess the danger of a renewed suicide attempt, start early and appropriate therapy and train hospital staff and nurses.

摘要

对1974年期间进入一家大型公立医院内科“自杀病房”的125名患者,按照年龄、性别分布、住院时间、自杀动机、自杀方式以及从急性中毒期恢复后的结局进行了分析。自杀动机主要源于人际关系冲突。女性自杀未遂的频率是男性的3倍。所有自杀未遂案例中,49%被认为属于“呼救”型,29%被归类为明显无效但严重的自杀未遂。其余22%的患者想要在自己的人生中划一道“分隔线”。由于恢复的早期阶段对患者的未来至关重要,医护人员必须接受培训并具备应对自杀患者诸多问题的经验。大型急性期医院的工作人员中若能有一位经验丰富的精神科医生长期协作,将非常有助于分析潜在的社会和医学问题、评估再次自杀未遂的风险、尽早开展适当治疗以及培训医院工作人员和护士。

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