Floen Silje K, Elklit Ask
BUP for Nordhordland, Kvassnesvegen 44, N-5914 Isdalstø, Norge.
Department of Psychology, University of Aarhus, Jens Chr. Skous Vej 4, DK-8000 Aarhus C, Denmark.
Ann Gen Psychiatry. 2007 Apr 20;6:12. doi: 10.1186/1744-859X-6-12.
This study aimed to examine the associations between psychiatric diagnoses, trauma and suicidiality in psychiatric patients at intake.
During two months, all consecutive patients (n = 139) in a psychiatric hospital in Western Norway were interviewed (response rate 72%).
Ninety-one percent had been exposed to at least one trauma; 69 percent had been repeatedly exposed to trauma for longer periods of time. Only 7% acquired a PTSD diagnosis. The comorbidity of PTSD and other psychiatric diagnoses were 78%. A number of diagnoses were associated with specific traumas. Sixty-seven percent of the patients reported suicidal thoughts in the month prior to intake; thirty-one percent had attempted suicide in the preceding week. Suicidal ideation, self-harming behaviour, and suicide attempts were associated with specific traumas.
Traumatised patients appear to be under- or misdiagnosed which could have an impact on the efficiency of treatment.
本研究旨在探讨精神病患者入院时精神疾病诊断、创伤与自杀倾向之间的关联。
在两个月的时间里，对挪威西部一家精神病院所有连续入院的患者（n = 139）进行了访谈（应答率72%）。
91%的患者至少经历过一次创伤；69%的患者长期反复遭受创伤。只有7%的患者被诊断为创伤后应激障碍（PTSD）。PTSD与其他精神疾病诊断的共病率为78%。一些诊断与特定创伤有关。67%的患者在入院前一个月报告有自杀念头；31%的患者在前一周曾试图自杀。自杀意念、自我伤害行为和自杀未遂与特定创伤有关。
受过创伤的患者似乎未得到充分诊断或误诊，这可能会影响治疗效果。
