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综合医院精神科有自杀意念者——一种心理人口学特征。

Suicidal ideators in the psychiatric facility of a general hospital - a psychodemographic profile.

机构信息

K.E. SADANANDAN UNNI, Diplomate N.B. (Psy), D.P.M., Assistant Professor of Psychiatry, Jawaharlal Institute of Postgraduate Medical Education and Research, Pondicherry - 605 006.

出版信息

Indian J Psychiatry. 1996 Apr;38(2):79-85.

Abstract

As a part of the basis for planning of prevention of suicide and suicide attempt, 154 suicidal ideators registered between 1988 and 1991, were recruited for an analysis of their psychiatric morbidity pattern. 59.74% had depression. The representation of substance abuse disorder and psychoses were 9.74% each 7.14% had neurotic disorders. 9.09% had bipolar affective disorder and 0.65% had normal mental status. 40% of the sample were housewives. Majority of them were between the age group of 16 and45years, having an educational status below 10th Standard The four year follow up findings showed that 8 of the sample completed suicide, of which four were suffering from psychosis. Repeaters suffered from disociation disorder. 15 of the depressives had resistant depression with nonremittent suicidal ideas. Psychotic patients and patients with somatic complaints were not free communicators of their suicidal idea. Implication of the results in the cunicalmanagement and further research on these patients are discussed.

摘要

作为自杀和自杀企图预防计划的基础的一部分,1988 年至 1991 年间登记的 154 名自杀意念者被招募进行其精神疾病发病模式的分析。59.74%有抑郁。物质滥用障碍和精神病的表现各为 9.74%和 7.14%,神经症障碍为 9.09%,双相情感障碍为 0.65%,精神状态正常为 0.65%。样本中有 40%是家庭主妇。他们中的大多数年龄在 16 岁至 45 岁之间,教育程度低于 10 年级。四年的随访结果显示,样本中有 8 人自杀,其中 4 人患有精神病。重复者患有分离障碍。15 名抑郁症患者有持续存在且不可缓解的自杀意念。精神病患者和有躯体抱怨的患者无法自由表达他们的自杀想法。讨论了这些结果在临床管理中的意义以及对这些患者的进一步研究。

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