Department of Psychiatry and Psychotherapy, Charité - Campus Benjamin Franklin , Berlin , Germany.
Int J Psychiatry Clin Pract. 2014 Jun;18(2):118-24. doi: 10.3109/13651501.2013.865756. Epub 2013 Dec 13.
Our study aims to determine the frequency and distribution of suicide attempts according to the patients' characteristics and type of suicide attempt as well as the method of treatment proposed by the consultation-liaison service in a general hospital.
This retrospective naturalistic study covers a 1-year period (2012), during which 51 suicide attempters were hospitalised in the Charité Berlin, Campus Benjamin Franklin, Germany. The following data were analysed: method of suicide, account of prior psychiatric history and medication, as well as the acute psychiatric diagnosis and treatment - including pharmacotherapy.
Most of the patients were diagnosed with a psychiatric illness. Major depressive disorder was the most frequent diagnosis in consultation. Treatment recommendations more often entailed further psychiatric treatment than medication. In the cases where medication was indeed given, benzodiazepines were the most frequently prescribed.
Most of the suicide attempters needed further therapy in psychiatric hospitals. A specialised pharmacotherapy (antidepressants, mood stabilisers) was rarely recommended by the psychiatric consultation service. The psychiatric consultation and therapy recommendations are important in guiding future acute treatment procedures.
本研究旨在根据患者特征、自杀尝试类型以及综合医院联络会诊服务提出的治疗方法，确定自杀未遂的频率和分布。
本回顾性自然研究涵盖了 1 年时间（2012 年），期间德国柏林夏洛蒂医科大学本杰明·富兰克林校区共有 51 例自杀未遂者住院。分析的数据包括自杀方法、先前精神病史和用药情况，以及急性精神诊断和治疗，包括药物治疗。
大多数患者被诊断患有精神疾病。在联络会诊中，最常见的诊断是重度抑郁症。治疗建议更多地需要进一步的精神治疗，而不是药物治疗。在确实给予药物治疗的情况下，苯二氮䓬类药物是最常开的处方。
大多数自杀未遂者需要在精神病院接受进一步的治疗。精神会诊服务很少推荐专门的药物治疗（抗抑郁药、心境稳定剂）。精神会诊和治疗建议对于指导未来的急性治疗程序很重要。
