Wetterling Tilman, Schneider Barbara
Klinik für Psychiatrie, Psychotherapie und Psychosomatik, Vivantes Klinikum Hellersdorf, Berlin.
Psychiatr Prax. 2013 Jul;40(5):259-63. doi: 10.1055/s-0032-1332987. Epub 2013 Mar 18.
Although there is a rich literature showing that addictive disorders are important risk factors for suicide, corresponding studies on suicidal behavior are rare. This study was aimed to evaluate the impact of alcohol intoxication on suicidal behavior.
Prospective study. All patients admitted to a psychiatric department providing the psychiatric services for a district of Berlin (250,000 inhabitants) within 15 month.
Within this period 184 persons were admitted after showing suicidal behaviour (n = 227 admissions). 54.3 % of them were alcohol intoxicated (BAC > 1 g/l). Apart from substance use disorders the most common diagnoses were adjustment disorders (41.0 %), followed by depressive disorders (27.3 %). 28.2 % committed a suicide attempt. All kinds of suicidal behaviour were accompanied by alcohol intoxication, particularly threatening of committing suicide. Persons admitted without alcohol ingestion frequently suffered from depression or schizophrenia.
This study shows that persons showing the suicidal behaviour were frequently alcohol intoxicated.
尽管有大量文献表明成瘾性障碍是自杀的重要危险因素，但关于自杀行为的相应研究却很少。本研究旨在评估酒精中毒对自杀行为的影响。
前瞻性研究。在15个月内，所有入住为柏林一个区（25万居民）提供精神科服务的精神科的患者。
在此期间，184人在出现自杀行为后入院（共227次入院）。其中54.3%的人处于酒精中毒状态（血液酒精浓度>1g/l）。除物质使用障碍外，最常见的诊断是适应障碍（41.0%），其次是抑郁症（27.3%）。28.2%的人有自杀未遂行为。各种自杀行为都伴有酒精中毒，尤其是自杀威胁。未摄入酒精而入院的人经常患有抑郁症或精神分裂症。
本研究表明，出现自杀行为的人经常处于酒精中毒状态。
