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三级医疗中心会诊联络精神病学中自杀未遂者的社会人口学特征、临床因素及自杀未遂方式

Sociodemographic profile, clinical factors, and mode of attempt in suicide attempters in consultation liaison psychiatry in a tertiary care center.

作者信息

Ramdurg Santosh, Goyal Shrigopal, Goyal Prashant, Sagar Rajesh, Sharan Pratap

机构信息

Department of Psychiatry, SDM College of Medical Sciences and Hospital, Dharwad, Karnataka, India.

出版信息

Ind Psychiatry J. 2011 Jan;20(1):11-6. doi: 10.4103/0972-6748.98408.

Abstract

BACKGROUND

The objective was to study the sociodemographic data, psychiatric disorder, precipitating events, and mode of attempt in suicide attempted patients referred to consultation liaison psychiatric services.

SETTINGS AND DESIGN

A prospective study of 6-month duration was done in a tertiary care center in India.

MATERIALS AND METHODS

During the 6-month period all referrals were screened for the presence of suicide attempters in consultation liaison services. Those who fulfilled the criteria for suicide attempters were evaluated by using semistructured pro forma containing sociodemographic data, precipitating events, mode of attempt, and psychiatric diagnosis by using ICD-10.

RESULTS

The male-to-female ratio was similar. Adult age, urban background, employed, matriculation educated were more represented in this study. More than 80% of all attempters had psychiatric disorder. Majority had a precipitating event prior to suicide attempt. The most common method of attempt was by use of corrosive.

CONCLUSIONS

Majority of suicide attempter patients had mental illness. Early identification and treatment of these disorders would have prevented morbidity and mortality associated with this. There is a need of proper education of relatives about keeping corrosive and other poisonous material away from patients as it was being commonest mode of attempt.

摘要

背景

目的是研究转诊至会诊联络精神科服务的自杀未遂患者的社会人口学数据、精神障碍、诱发事件及自杀未遂方式。

设置与设计

在印度一家三级医疗中心进行了一项为期6个月的前瞻性研究。

材料与方法

在这6个月期间,对会诊联络服务中所有转诊患者筛查是否存在自杀未遂者。符合自杀未遂者标准的患者通过使用包含社会人口学数据、诱发事件、自杀未遂方式及依据国际疾病分类第10版进行精神科诊断的半结构式表格进行评估。

结果

男女比例相似。本研究中成年、城市背景、就业、接受过预科教育的人群占比更多。超过80%的所有自杀未遂者患有精神障碍。大多数人在自杀未遂前有诱发事件。最常见的自杀未遂方式是使用腐蚀性物质。

结论

大多数自杀未遂患者患有精神疾病。对这些疾病的早期识别和治疗本可预防与之相关的发病和死亡。有必要对亲属进行关于让腐蚀性物质和其他有毒物质远离患者的适当教育,因为这是最常见的自杀未遂方式。

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