Milch W E
Psychiatric Hospital, Giessen, Germany.
Crisis. 1990 May;11(1):44-51.
In order to investigate suicides in a psychiatric clinic, it is an important question whether patients who commit a suicide or parasuicide are distinguishable from other patients in their symptomatic. The sample consists of 22 suicide cases, 83 parasuicide cases, and 44 nonsuicidal control cases. Comparisons are made between these groups with regard to 26 symptoms before admission and during hospitalization. The results suggest that the symptomatic on admission of all groups did not differ significantly. During treatment, the suicide group did not improve in the same way as the others. This group worsened and displayed seven depressive symptoms such as hopelessness, despondency, motoric inhibition, tension, agitation, anxiety, and impulsive actions. Failures such as continual increase in the symptomatic stress the therapeutic alliance.
为了调查一家精神科诊所中的自杀情况，一个重要问题是实施自杀或准自杀的患者在症状上是否与其他患者有区别。样本包括22例自杀病例、83例准自杀病例和44例非自杀对照病例。对这些组在入院前和住院期间的26种症状进行了比较。结果表明，所有组入院时的症状没有显著差异。在治疗期间，自杀组的改善情况与其他组不同。该组病情恶化，并表现出七种抑郁症状，如绝望、沮丧、运动抑制、紧张、激动、焦虑和冲动行为。症状持续增加等失败情况凸显了治疗联盟的问题。
