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芬兰老年人自杀情况及出院后的时间

Suicides among older persons in Finland and time since hospitalization discharge.

作者信息

Karvonen Kaisa, Hakko Helinä, Koponen Hannu, Meyer-Rochow V Benno, Räsänen Pirkko

机构信息

Department of Psychiatry Oulu University Hospital, Oulu Finland.

出版信息

Psychiatr Serv. 2009 Mar;60(3):390-3. doi: 10.1176/ps.2009.60.3.390.

Abstract

OBJECTIVE

This study examined the timing of suicide among elderly and middle-aged persons after their final hospitalization and examined characteristics of suicides in relation to the timing of suicide.

METHODS

Data were examined for Northern Finnish middle-aged (50-64 years, N=370) and elderly (65 years or older, N=194) suicide victims. Suicides were classified by a forensic examiner.

RESULTS

Compared with elderly persons whose suicide occurred more than 180 days after hospitalization or who had had no hospitalizations, elderly persons who committed suicide within one week after hospitalization were more likely to have a history of hospital-treated psychiatric and alcohol-related disorders and depression and were more likely to have been given a psychiatric diagnosis at their last hospitalization. Compared with elderly men, elderly women were more likely to commit suicide in the first month after being discharged from the hospital.

CONCLUSIONS

An increased risk of suicide after hospitalization should be taken into account in the treatment arrangements for elderly persons.

摘要

目的

本研究调查了中老年人群最后一次住院后的自杀时间,并探讨了自杀时间与自杀特征之间的关系。

方法

对芬兰北部中年(50 - 64岁,N = 370)和老年(65岁及以上,N = 194)自杀受害者的数据进行了分析。自杀事件由法医进行分类。

结果

与住院180天以上自杀或未住院的老年人相比,住院后一周内自杀的老年人更有可能有接受过住院治疗的精神疾病、酒精相关障碍和抑郁症病史,并且在最后一次住院时更有可能被诊断为精神疾病。与老年男性相比,老年女性在出院后的第一个月内更有可能自杀。

结论

在老年人的治疗安排中应考虑到住院后自杀风险增加的情况。

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