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急诊医学中的自杀倾向:急诊病历表格回顾性分析结果

Suicidality in emergency medicine: Results from a retrospective analysis of emergency documentation forms.

作者信息

Lang Fabian U, Hubel Nadine, Kösters Markus, Messer Thomas, Dinse-Lambracht Alexander, Jäger Markus

机构信息

Department of Psychiatry II, Ulm University, Ludwig-Heilmeyer-Str. 2, 89312, Günzburg, Germany.

Danuvius Klinik Pfaffenhofen, Pfaffenhofen, Germany.

出版信息

Neuropsychiatr. 2016 Jun;30(2):69-73. doi: 10.1007/s40211-016-0181-2. Epub 2016 Jun 10.

DOI:10.1007/s40211-016-0181-2
PMID:27287928
Abstract

BACKGROUND

To analyze suicidal care episodes in emergency medical responses in Germany.

METHOD

Anonymized data from emergency care episodes in Ulm from 2004 to 2013 were analyzed retrospectively.

RESULTS

158 of 933 psychiatric emergencies (16 %) were suicide related, including 14 completed suicides, 25 care episodes with suicidal ideation, and 119 suicide attempts. Significantly more men than women completed suicide (χ²(2,N = 934) = 12.70, p = 0.02). 93 % of the total psychiatric emergencies received any medication at all, and only about 33 % were transported to a psychiatric hospital.

CONCLUSION

Psychiatric treatment for suicidality in emergency medicine requires improvement to ensure that patients receive adequate therapy.

摘要

背景

分析德国紧急医疗应对中的自杀护理事件。

方法

回顾性分析2004年至2013年乌尔姆紧急护理事件的匿名数据。

结果

933例精神科急诊中有158例(16%)与自杀相关,包括14例自杀死亡、25例有自杀意念的护理事件和119例自杀未遂。自杀死亡的男性明显多于女性(χ²(2,N = 934) = 12.70,p = 0.02)。93%的精神科急诊患者接受了某种药物治疗,只有约33%被送往精神病医院。

结论

急诊医学中针对自杀行为的精神科治疗需要改进,以确保患者得到充分治疗。

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本文引用的文献

1
Time patterns of inpatient suicides.住院患者自杀的时间模式。
Int J Psychiatry Clin Pract. 2010 Jun;14(2):95-101. doi: 10.3109/13651500903506466.
2
Why has the continuous decline in German suicide rates stopped in 2007?为什么德国的自杀率自 2007 年以来持续下降的趋势停止了?
PLoS One. 2013 Aug 14;8(8):e71589. doi: 10.1371/journal.pone.0071589. eCollection 2013.
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Attitudes and stigma in relation to help-seeking intentions for psychological problems in low and high suicide rate regions.在自杀率高低地区,与寻求心理问题帮助的意图有关的态度和耻辱感。
Soc Psychiatry Psychiatr Epidemiol. 2014 Feb;49(2):231-9. doi: 10.1007/s00127-013-0745-4. Epub 2013 Jul 30.
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Screening for suicidal ideation and attempts among emergency department medical patients: instrument and results from the Psychiatric Emergency Research Collaboration.对急诊科内科患者自杀意念和自杀企图的筛查:精神科急诊研究协作组的工具和结果。
Suicide Life Threat Behav. 2013 Jun;43(3):313-23. doi: 10.1111/sltb.12018. Epub 2013 Feb 16.
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Suicide risk protocols: addressing the needs of high risk youths identified through suicide prevention efforts and in clinical settings.自杀风险协议:通过预防自杀工作和临床环境,满足高危青少年的需求。
Suicide Life Threat Behav. 2013 Apr;43(2):150-60. doi: 10.1111/sltb.12004. Epub 2012 Dec 23.
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Behavioural therapy of suicidality.自杀意念的行为治疗。
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Revisiting the association of aggression and suicidal behavior in schizophrenic inpatients.重新审视精神分裂症住院患者的攻击行为和自杀行为之间的关联。
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Advanced medical life support procedures in vitally compromised children by a helicopter emergency medical service.直升机紧急医疗服务对生命垂危儿童实施的高级医疗生命支持程序。
BMC Emerg Med. 2010 Mar 8;10:6. doi: 10.1186/1471-227X-10-6.
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[Suicide and suicidality in emergency medicine].[急诊医学中的自杀与自杀倾向]
Anasthesiol Intensivmed Notfallmed Schmerzther. 2009 Nov;44(11-12):720-7. doi: 10.1055/s-0029-1242130. Epub 2009 Nov 16.
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[Psychosocial emergencies--Agitation, aggression and violence in emergency and search and rescue services].[心理社会紧急情况——紧急救援及搜救服务中的躁动、攻击和暴力行为]
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