Tishler Carl L, Reiss Natalie Staats
Department of Psychology, The Ohio State University, Columbus, OH 43210, USA.
Gen Hosp Psychiatry. 2009 Mar-Apr;31(2):103-9. doi: 10.1016/j.genhosppsych.2008.09.007. Epub 2008 Oct 9.
Suicide in the hospital is one of the most common types of sentinel events, and hospitals can (and should) take steps to decrease the likelihood of experiencing this type of crisis.
MEDLINE, Cochrane Library, National Electronic Library for Mental Health, and PSYCHINFO searches were conducted. In addition, manual and phone queries were used to identify relevant empirical and clinical publications. Reference sections of published articles were also searched.
The current article discusses the rates of suicide in hospitals, related risk factors, methods of suicidal behavior, and factors which contribute to this tragic event. Environmental, patient care, staff training, and hospital policy recommendations for decreasing the number of inpatient suicides are presented.
Inpatient suicide is a traumatic event. Although it is a relatively rare occurrence that is often difficult to predict and prevent, continuing to refine our efforts to assist the population at risk is imperative.
医院内自杀是最常见的警讯事件类型之一，医院能够（也应该）采取措施降低发生此类危机的可能性。
检索了医学文献数据库（MEDLINE）、考克兰图书馆、国家心理健康电子图书馆和心理学文摘数据库（PSYCHINFO）。此外，还通过人工检索和电话查询来识别相关的实证和临床出版物。同时也检索了已发表文章的参考文献部分。
本文讨论了医院内的自杀率、相关风险因素、自杀行为方式以及导致这一悲剧事件的因素。文中还提出了关于减少住院患者自杀数量的环境、患者护理、员工培训及医院政策方面的建议。
住院患者自杀是一个创伤性事件。尽管这是相对罕见的情况，且往往难以预测和预防，但持续改进我们帮助高危人群的工作至关重要。
