Nordentoft Merete, Madsen Trine
Psykiatrisk Center København, Bispebjerg Hospital, Bispebjerg Bakke 23, 2400 København NV, Denmark.
Ugeskr Laeger. 2011 Sep 26;173(39):2415-8.
Suicide rates in Denmark have declined since 1980 both in the general population and among psychiatric patients. In recent years, the number of suicides in Denmark has been rather stable with approximately 650 incidents each year. Register-based studies indicate that half of those who commit suicide have had at least one psychiatric admission in the past, and the risk of suicide is approximately twentyfold increased in psychiatric patients compared to the risk in the general population with only a modest variation across diagnoses. The most important risk factor for suicide among psychiatric patients is previous suicide attempt. A crisis plan developed together with the patient can be helpful. Regular screening for risk of suicide should be implemented in psychiatric services.
自1980年以来,丹麦普通人群和精神病患者的自杀率均有所下降。近年来,丹麦的自杀人数一直相当稳定,每年约有650起自杀事件。基于登记的研究表明,自杀者中有一半过去至少有过一次精神病住院记录,与普通人群相比,精神病患者的自杀风险大约增加了20倍,且不同诊断之间的差异不大。精神病患者自杀的最重要风险因素是既往自杀未遂。与患者共同制定的危机计划可能会有所帮助。精神病服务机构应定期开展自杀风险筛查。