Trofimovich Lily, Skopp Nancy A, Luxton David D, Reger Mark A
National Center for Telehealth and Technology, Defense Center of Excellence for Psychological Health and Traumatic Brain Injury, Tacoma, Washington, USA.
MSMR. 2012 Feb;19(2):2-6.
Suicide is a leading cause of deaths of U.S. service members. Medical care providers may play a role in suicide prevention. We summarized the outpatient experiences of service members prior to suicide or self-inflicted injury and compared them with service members without suicidal behavior. During 2001-2010, 45 percent of individuals who completed suicide and 75 percent of those who injured themselves had outpatient encounters within 30 days prior to suicide/self-harm. Primary care was the most frequently visited clinical service prior to suicide/self-harm. As compared to their counterparts, service members with suicidal behavior had especially excessive outpatient visit rates within, but not prior to, 60 days of their deaths/injuries. The finding suggests that there may be one or more "triggering" events that lead to care-seeking. These results may help identify individuals that should be screened for suicide risk.
自杀是美国军人死亡的主要原因之一。医疗服务提供者在预防自杀方面可能发挥作用。我们总结了军人在自杀或自残前的门诊经历,并将其与无自杀行为的军人进行了比较。在2001年至2010年期间,45%的自杀者和75%的自残者在自杀/自我伤害前30天内有门诊就诊经历。在自杀/自我伤害前,初级保健是就诊最频繁的临床服务。与无自杀行为的军人相比,有自杀行为的军人在死亡/受伤前60天内(而非之前)的门诊就诊率尤其过高。这一发现表明,可能存在一个或多个导致寻求医疗护理的“触发”事件。这些结果可能有助于识别应接受自杀风险筛查的个体。