Department of Clinical and Experimental Medicine, University of Perugia, Perugia, Italy.
Psychiatr Danub. 2012 Sep;24 Suppl 1:S140-2.
Suicidal ideation and attempts account for a significant number of Emergency Department visits and represent a major public and mental health problem. Suicide and suicide attempts are a major cause of death and morbidity worldwide.
111 suicide attempters (81 F (73%), 30 M (27%)) were consequently recruited in the Emergency Department of the Santa Maria della Misericordia, Perugia, Italy between June 2011 and June 2012. Patients were assessed and demographic and clinical data were collected in clinical records. Data analysis was conducted using SPSS software. Chi-square test and logistic regression were used as appropriate. A p-value <0.05 was considered statistically significant.
Females attempt suicide 3 times more frequently than males and generally use a non-violent suicide attempt method. In our sample unmarried status is the most represented and the most common diagnosis is major depressive disorder, followed by borderline personality disorder. Suicide attempts are more frequent in January.
It is of crucial importance to conduct a suicide risk assessment when subjects are admitted to an ED given that the strongest known predictor for future suicide is attempted suicide.
自杀意念和自杀企图在急诊科就诊中占很大比例，是一个重大的公共卫生和精神卫生问题。自杀和自杀企图是全世界死亡和发病的主要原因。
2011 年 6 月至 2012 年 6 月，我们在意大利佩鲁贾的圣玛利亚德拉米塞科迪医院的急诊科连续招募了 111 名自杀未遂者（81 名女性（73%），30 名男性（27%））。对患者进行评估，并在病历中收集人口统计学和临床数据。使用 SPSS 软件进行数据分析。适当使用卡方检验和逻辑回归。p 值<0.05 被认为具有统计学意义。
女性自杀未遂的频率是男性的 3 倍，通常使用非暴力的自杀未遂方法。在我们的样本中，未婚状态是最常见的，最常见的诊断是重度抑郁症，其次是边缘型人格障碍。自杀未遂更常见于 1 月。
由于已知自杀的最强预测因素是自杀未遂，因此当患者被收入急诊科时，进行自杀风险评估至关重要。
