Scoliers Gerrit, Portzky Gwendolyn, van Heeringen Kees, Audenaert Kurt
Unit for Suicide Research, University of Ghent, Ghent, Belgium.
Arch Suicide Res. 2009;13(3):201-13. doi: 10.1080/13811110902835130.
The present study examines the association between repetition of suicide attempts and sociodemographic and psychopathological characteristics of patients during a 5-year follow-up period. Participants were 874 suicide attempters referred to the University Hospital of Ghent, among whom 361 (41.3%) patients were available for follow-up analysis. Within 5 years, 29.2% of those admitted for an index suicide attempt repeated non-fatal suicidal behavior. Repetition of suicidal behavior was associated with high scores on measures of psychopathology. In addition, the risk of repetition was increased if the patient was female, aged between 20 and 49, and had a lower education. Multivariate analysis showed significant results for age, the Buglass & Horton Risk of Repetition Scale and for anxiety. Repetition of suicidal behavior is associated with high anxiety, severe depression, more psychiatric symptoms and is increased in young patients.
本研究考察了自杀未遂重复发生与患者在5年随访期内的社会人口学及精神病理学特征之间的关联。研究对象为874名转诊至根特大学医院的自杀未遂者,其中361名(41.3%)患者可用于随访分析。在5年内,首次自杀未遂入院者中有29.2%重复了非致命性自杀行为。自杀行为的重复发生与精神病理学测量的高分相关。此外,如果患者为女性、年龄在20至49岁之间且受教育程度较低,重复发生的风险会增加。多变量分析显示年龄、布格拉斯&霍顿重复风险量表及焦虑方面有显著结果。自杀行为的重复发生与高度焦虑、重度抑郁、更多精神症状相关,且在年轻患者中有所增加。