Schmitt W, Mundt C
Kantonale Psychiatrische Klinik, Embrach, Schweiz.
Nervenarzt. 1991 Jul;62(7):440-4.
Two samples of patients admitted during one year after suicide attempts were compared: patients of the University Surgical Department in Heidelberg and a random sample of those who were admitted to the detoxication ward of the University Department for Internal Medicine. The frequency of patients who used "hard" methods was 10% of those using "soft" methods. Patients with hard suicide methods displayed more social desintegration, were more often psychiatrically ill, had a shorter presuicidal phase, a shorter time span from decision to execution of the suicidal attempt, more negative self-esteem and more chronic suicidality. Aggressiveness was low in both groups. Although the number of patients with "hard" suicidal methods is small and does not justify a special service in the Surgical Hospital, these patients need particularly careful supervision because of their psychopathological and psychosocial profile.
海德堡大学外科的患者以及随机抽取的入住大学内科戒毒病房的患者。采用“强硬”方法的患者频率是采用“温和”方法患者的10%。采用强硬自杀方法的患者表现出更多的社会解体、更多患有精神疾病、自杀前阶段更短、从决定自杀到实施自杀尝试的时间跨度更短、自尊更消极且自杀倾向更持久。两组患者的攻击性都较低。虽然采用“强硬”自杀方法的患者数量较少，不足以在外科医院设立专门服务，但由于其心理病理学和社会心理特征，这些患者需要特别仔细的监护。
