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波多黎各一家精神病医院住院自杀未遂者的社会人口统计学、精神病学和医学概况。

A socio-demographic, psychiatric and medical profile of inpatient suicide attempters in a psychiatric hospital of Puerto Rico.

作者信息

Martínez Gabriel L, Herrero Raquel, Fabelo Christine, Diaz Diana, McCarthy Vilma

机构信息

Department of Psychiatry, University of Puerto Rico School of Medicine, San Juan, PR.

出版信息

Bol Asoc Med P R. 2009 Jan-Mar;101(1):23-30.

Abstract

OBJECTIVES

Describe the socio-demographic, medical, and psychiatric profile of patients who attempted suicide in a psychiatric hospital of Puerto Rico during the period of March 2005 to March 2007. Identify the methods most frequently used; also days, time, and observation level of the patient at the time of the attempt.

METHOD

Inpatient suicidal attempts in a state psychiatric hospital were assessed from March 2005 to March 2007. Information was gathered from the incident reports of the attempts and the patients' records.

RESULTS

During the period of investigation a total of 44 suicidal attempts were made by 31 inpatients. The majority of them being diagnosed with psychotic (96.8%) and mood disorders (48.4%). The most commonly used method was hanging (79.6%), and the most commonly identified precipitant was medical stressors such as hallucinations or frustrations about their psychiatric conditions.

CONCLUSION

Most of the results of our study support previously published profiles for potential suicide attempters. Regarding prevention strategies, additional measures should be established inside the wards in order to reduce the risk of inpatients attempting suicide.

摘要

目的

描述2005年3月至2007年3月期间在波多黎各一家精神病医院企图自杀患者的社会人口学、医学和精神状况。确定最常使用的方法;以及企图自杀时患者的日期、时间和观察级别。

方法

对2005年3月至2007年3月期间一家州立精神病医院住院患者的自杀企图进行评估。从企图自杀事件报告和患者记录中收集信息。

结果

在调查期间,31名住院患者共进行了44次自杀企图。其中大多数被诊断患有精神疾病(96.8%)和情绪障碍(48.4%)。最常用的方法是上吊(79.6%),最常见的诱发因素是医疗压力源,如幻觉或对其精神状况的挫折感。

结论

我们研究的大多数结果支持先前发表的潜在自杀未遂者的特征。关于预防策略,应在病房内采取额外措施,以降低住院患者自杀企图的风险。

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