自杀意图程度可预测自杀未遂后的全因死亡率和自杀情况：一项12年随访研究。
Level of suicidal intent predicts overall mortality and suicide after attempted suicide: a 12-year follow-up study.
作者信息
Suominen Kirsi, Isometsä Erkki, Ostamo Aini, Lönnqvist Jouko
机构信息
Department of Mental Health and Alcohol Research, National Public Health Institute, Helsinki, Finland.
出版信息
BMC Psychiatry. 2004 Apr 20;4:11. doi: 10.1186/1471-244X-4-11.
BACKGROUND
The aim of this study was to comprehensively examine clinical risk factors, including suicide intent and hopelessness, for suicide and risk of death from all causes after attempted suicide over a 12-year follow-up period.
METHODS
A systematic sample of 224 patients from consecutive cases of attempted suicide referred to health care in four Finnish cities between 1 January and 31 July 1990 was interviewed.
RESULTS
After 12 years of follow-up 22% of these patients had died, 8% by committing suicide. The only statistically significant risk factor for eventual suicide was high scores on Beck's Suicidal Intention Scale. Male gender, older age, physical illness or disability and high scores on Beck's Suicidal Intention Scale predicted death overall.
CONCLUSIONS
Following attempted suicide, high intention to kill oneself is a significant risk factor for both death from all causes and suicide.
背景
本研究的目的是在12年的随访期内，全面检查自杀及自杀未遂后各种原因导致的死亡风险的临床危险因素，包括自杀意图和绝望感。
方法
对1990年1月1日至7月31日期间在芬兰四个城市因自杀未遂连续就诊的224例患者进行系统抽样访谈。
结果
经过12年的随访，这些患者中有22%死亡，8%自杀身亡。最终自杀的唯一具有统计学意义的危险因素是贝克自杀意图量表得分高。男性、年龄较大、身体疾病或残疾以及贝克自杀意图量表得分高预示着总体死亡。
结论
自杀未遂后，强烈的自杀意图是各种原因导致死亡和自杀的重要危险因素。
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