Cheng K K, Leung C M, Lo W H, Lam T H
Department of Community Medicine, University of Hong Kong.
Br J Psychiatry. 1989 Feb;154:243-6. doi: 10.1192/bjp.154.2.243.
A descriptive study of suicides in 74 Chinese schizophrenic out-patients (43 male) is presented. The mean age at death was 31.3 years. The mean duration of illness was 8.5 years and 50 of the 74 died within ten years of onset of illness. Only five lived alone; 35 were openly employed and 20 were married at the time of death. Twenty had a history of depression, and 27 had attempted suicide previously. More females had been depressed or had attempted suicide than males. Over half were last admitted for reasons other than schizophrenic symptoms alone and ten died within one month of discharge. Eight of 71 patients followed up expressed suicidal ideas at the last psychiatric contact, but only 15 were symptomatic. Jumping was the commonest method used. Analytical studies are needed to identify risk factors in Chinese schizophrenics.
本文呈现了对74名中国精神分裂症门诊患者(43名男性)自杀情况的描述性研究。死亡时的平均年龄为31.3岁。平均病程为8.5年,74名患者中有50名在发病十年内死亡。仅5人独居;35人有公开职业,20人在死亡时已婚。20人有抑郁病史,27人曾有过自杀未遂。女性出现抑郁或自杀未遂的情况比男性更多。超过半数患者上次入院的原因并非仅是精神分裂症症状,且有10人在出院后一个月内死亡。在接受随访的71名患者中,有8人在最后一次精神科就诊时表达了自杀想法,但只有15人有症状。跳楼是最常用的自杀方式。需要进行分析性研究以确定中国精神分裂症患者的危险因素。