Department of Psychiatry, Sawa Hospital, Toyonaka, Osaka, Japan.
Department of Psychiatry, Kameda Medical Center, Chiba, Japan.
Suicide Life Threat Behav. 2017 Dec;47(6):688-695. doi: 10.1111/sltb.12326. Epub 2016 Dec 28.
Suicide has a great impact on the individual whose life is lost and the bereaved family members. The risk of a suicide reattempt is particularly high during the first 12 months after a suicide attempt. In this cohort study, risk factors for a suicide reattempt were explored among 291 patients at suicide risk. Clinical and demographic data were collected from a Japanese primary care hospital. Past psychiatric history and multiple diagnoses were associated with suicide reattempts in both genders. Drug overdose, past psychiatric history, and the summer season were linked to suicide reattempts among males. Past psychiatric history and multiple diagnoses were linked to suicide reattempts among females. Appropriate assessment of past psychiatric history, season and method of suicide attempt, gender, and diagnosis may play a role in preventing suicide.
自杀对失去生命的个体和其亲属都有重大影响。在自杀未遂后的 12 个月内，再次自杀的风险特别高。在这项队列研究中，研究人员对 291 名有自杀风险的患者进行了自杀再尝试的风险因素探讨。研究人员从日本一家基层医疗机构收集了临床和人口统计学数据。过去的精神病史和多种诊断与两性的自杀再尝试均相关。药物过量、过去的精神病史和夏季与男性的自杀再尝试相关。过去的精神病史和多种诊断与女性的自杀再尝试相关。对过去的精神病史、自杀尝试的季节和方法、性别和诊断进行适当评估可能对预防自杀有作用。
