Clinical Research Unit for Anxiety and Depression, School of Psychiatry, University of New South Wales at St. Vincent's Hospital, Darlinghurst, Sydney, Australia.
Crisis. 2011;32(1):37-42. doi: 10.1027/0227-5910/a000058.
Recent studies have reported that serious violence toward self and others is more common in the first episode of psychosis than after treatment.
To estimate the proportion of survivors of potentially lethal suicide attempts with sharp objects who have a diagnosis of psychotic illness, and the proportion of those patients who had never received treatment for psychosis with antipsychotic medication.
An audit of the medical records of patients from three major teaching hospitals in Sydney, Australia, who survived a self inflicted stab wound to the abdomen, torso, or a laceration to the neck.
The files of 95 survivors of self-inflicted wounds by cutting or stabbing who met the inclusion criteria for the study were examined. A psychotic illness was diagnosed in 46 cases (48%), of which 26 (57%) had never received treatment with antipsychotic medication and, hence, were in the first episode of psychosis.
Psychosis is strongly associated with potentially lethal suicide attempts using sharp objects and patients who have never received treatment for psychosis appear to be at particular risk.
最近的研究报告表明，在精神病首次发作期间，严重的自伤和伤人行为比治疗后更为常见。
估计使用锐器实施有潜在致命性自杀企图的幸存者中被诊断为精神病的比例，以及这些患者中从未接受过抗精神病药物治疗精神病的比例。
对来自澳大利亚悉尼三家主要教学医院的患者的医疗记录进行审核，这些患者因腹部、躯干被刺伤或颈部划伤而自残。
共检查了符合研究纳入标准的 95 名自伤性切割或刺伤幸存者的档案。诊断出精神病 46 例（48%），其中 26 例（57%）从未接受过抗精神病药物治疗，因此处于精神病首次发作期。
精神病与使用锐器的有潜在致命性自杀企图密切相关，从未接受过精神病治疗的患者似乎面临着特别大的风险。
