Suominen Kirsi, Suokas Jaana, Lönnqvist Jouko
Department of Mental Health and Alcohol Research, National Public Health Institute, Helsinki, Finland.
Nord J Psychiatry. 2007;61(5):387-92. doi: 10.1080/08039480701643381.
The aim of this study was to compare the attitudes of emergency room staff towards patients who have attempted suicide between two general hospitals, one with psychiatric consultation available and the other without. The Understanding Suicidal Patients (USP) Questionnaire was given to all staff in the emergency rooms of Jorvi Hospital (in the city of Espoo, with routine psychiatric consultation) and Malmi Hospital (in the city of Helsinki, without routine psychiatric consultation) (n=115). There were clear differences in staff attitudes between the hospitals. Female gender, older age and working in Malmi Hospital without routine psychiatric consultation were associated with more positive attitudes towards attempted suicide patients. Surprisingly, only working in Jorvi Hospital was associated with more negative attitudes. Differences in attitudes towards suicide attempters between personnel working in the different hospitals were found. Further investigation is needed to find the ideal psychiatric consultation arrangement for suicide attempters in good cooperation with emergency room staff.
本研究的目的是比较两家综合医院急诊科工作人员对自杀未遂患者的态度，其中一家医院可提供精神科会诊，另一家则没有。向约尔维医院（位于埃斯波市，有常规精神科会诊）和马尔米医院（位于赫尔辛基市，无常规精神科会诊）急诊科的所有工作人员发放了“理解自杀患者”（USP）问卷（n = 115）。两家医院工作人员的态度存在明显差异。女性、年龄较大以及在没有常规精神科会诊的马尔米医院工作与对自杀未遂患者的更积极态度相关。令人惊讶的是，只有在约尔维医院工作与更消极的态度相关。发现不同医院工作人员对自杀未遂者的态度存在差异。需要进一步调查，以便与急诊科工作人员良好合作，为自杀未遂者找到理想的精神科会诊安排。
