Suokas J, Lönnqvist J
Crisis. 1989 Oct;10(2):123-31.
The study group consisted of medical staff (n = 53) working in the emergency department of the general hospital in Helsinki, Finland, which treats almost all self-poisonings in the area. Some of the staff in the Department of Psychiatry formed the comparison group (n = 30). The study method was an interview based on real cases of attempted suicide. The previous four cases taken for consultation by the Department of Psychiatry were chosen. The interview was based on the consultation form used in the Department of Psychiatry of Helsinki University Central Hospital. The answers of the original consultant were compared to the results from the two groups. The study group could well assess the somatic severity (lethality) of all suicide attempts, whereas the comparison group often assessed them to be more severe than the original consultant. There were no noteworthy differences between the groups concerning the assessment of the psychiatric severity (the intent to die) of the suicide attempts and the necessary after-care. The comparison group considered all suicide attempts as understandable acts, whereas there was a distribution in the results from the study group. In general, on the basis of the results, it can be said that the staff in the psychiatric hospital were significantly more cautious in their assessments than the staff at the general hospital.
研究组由在芬兰赫尔辛基综合医院急诊科工作的医务人员（n = 53）组成，该医院收治该地区几乎所有的自我中毒病例。精神科的部分工作人员组成了对照组（n = 30）。研究方法是基于自杀未遂真实案例的访谈。选取了精神科之前会诊的4个病例。访谈基于赫尔辛基大学中心医院精神科使用的会诊表。将原会诊医生的答案与两组的结果进行比较。研究组能够很好地评估所有自杀未遂的躯体严重程度（致死性），而对照组常常认为其比原会诊医生评估的更严重。两组在自杀未遂的精神严重程度（死亡意图）评估及必要的后续护理方面没有显著差异。对照组认为所有自杀未遂都是可以理解的行为，而研究组的结果呈分布状态。总体而言，根据结果可以说，精神病医院的工作人员在评估时比综合医院的工作人员明显更为谨慎。
