Allebeck P, Allgulander C
Department of Medicine, Karolinska Institute, Huddinge University Hospital, Sweden.
Br J Psychiatry. 1990 Sep;157:339-44. doi: 10.1192/bjp.157.3.339.
In a cohort of 50,465 Swedish men conscripted for military service in 1969-70, the relative risk for suicide was 3.1 (95% Cl 2.3-4.0) among those who had a psychiatric diagnosis at conscription, and 16.7 (95% Cl 13.8-20.1) among those who had a psychiatric diagnosis in in-patient care during a 13-year follow-up. Of the diagnoses at conscription, only neurotic disorder, personality disorder and drug dependence were associated with a significantly increased risk for future suicide. Among those who were admitted to hospital, almost all in-patient diagnoses were associated with a significantly increased suicide risk. Although a psychiatric diagnosis in in-patient care was a strong predictor of suicide, only 44% of all 247 men who committed suicide had ever been treated in in-patient psychiatric care.
在1969年至1970年应征入伍的50465名瑞典男性队列中，征兵时被诊断患有精神疾病的人群自杀相对风险为3.1（95%置信区间2.3 - 4.0），在13年随访期间曾接受住院治疗且被诊断患有精神疾病的人群自杀相对风险为16.7（95%置信区间13.8 - 20.1）。在征兵时的诊断中，只有神经症、人格障碍和药物依赖与未来自杀风险显著增加相关。在入院治疗的人群中，几乎所有住院诊断都与自杀风险显著增加相关。尽管住院治疗时的精神疾病诊断是自杀的有力预测因素，但在所有247名自杀男性中，只有44%曾接受过住院精神科治疗。
