Ries Richard K, Yuodelis-Flores Christine, Comtois Katherine Anne, Roy-Byrne Peter P, Russo Joan E
Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Seattle, WA 98104, USA.
J Subst Abuse Treat. 2008 Jan;34(1):72-9. doi: 10.1016/j.jsat.2006.12.033. Epub 2007 Jun 15.
The degree of substance-induced syndrome (SIS) was evaluated in 5,116 acutely hospitalized suicidal psychiatric inpatients. Admission and discharge severity ratings were made by academic attendings using structured forms. Outcome variables analyzed include ratings of psychiatric symptom severity on admission and discharge, length of stay, severity of SIS, and severity of alcohol/drug problems. Suicidal inpatients rated with a high degree of SIS were more likely to be homeless, to be unemployed, to be uncooperative, to have shorter lengths of stay, and to show a more rapid improvement in symptoms. These patients represent a subgroup of the co-occurring disorders population having a high degree of addiction severity with temporary substance-induced suicidal syndromes and are subjected to the most expensive level of care in the mental health system. Implications of these findings include the fact that psychiatric inpatient services need to provide intensive addiction intervention treatment and that outpatient addiction services need improved capability and capacity to care for suicidal patients.
对5116名急性住院的自杀性精神科住院患者的物质所致综合征（SIS）程度进行了评估。入院和出院时的严重程度评级由学术主治医生使用结构化表格进行。分析的结果变量包括入院和出院时的精神症状严重程度评级、住院时间、SIS严重程度以及酒精/药物问题的严重程度。SIS程度高的自杀性住院患者更有可能无家可归、失业、不合作、住院时间较短且症状改善更快。这些患者代表了同时患有多种疾病的人群中的一个亚组，他们成瘾严重程度高，伴有暂时性物质所致自杀综合征，并且在心理健康系统中接受最昂贵的护理级别。这些发现的意义包括，精神科住院服务需要提供强化成瘾干预治疗，门诊成瘾服务需要提高照顾自杀患者的能力。
