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[有自杀未遂中毒行为的老年人的心理社会特征]

[Psychosocial characteristics of elderly people who have committed suicide attempts poisoning].

作者信息

Pashkovskiy V E, Sofronov A G, Dobrovolskaya A E, Prokopovich G A

机构信息

I. I. Mechnikov North-Western State Medical University, Saint-Petersburg, 191015, Russian Federation;

Saint-Petersburg I. I. Dzhanelidze Research Institute of Emergency Medicine, Saint-Petersburg, 192242, Russian Federation.

出版信息

Adv Gerontol. 2017;30(2):262-268.

PMID:28575567
Abstract

The aim of this study is to identify psychosocial characteristics of older people who attempted suicide by self-poisoning. A total of 44 older people with suicide attempts by self-poisoning was examined, 12 of whom were male and 32 were female, their average age was 71,9+10,8. The comparison group consisted of 53 young people - 19 males and 34 females, their average age was 26,6+4,4. In both groups dominated deliberate self-poisoning with antiepileptic, sedative, soporific, Antiparkinson and psychotropic drugs (40,9 % vs 47,2 %, p>0,05). Amongst older people number of those who engaged in deliberate self-poisoning with drugs affecting the autonomic nervous system (25 % vs 9,4 %, p<0,05) was significantly higher. Compared with younger adults, older adults are more likely to commit a suicide attempt with serious intentions to complete suicide (62,5 % vs 24,5 %, p<0,05). There is a positive statistically significant correlation between the factor of «suicide attempt with serious intentions» and factors «loneliness» (Y=0,68), «severe physical illness» (Y=0,58) and «constant pain» (Y=0, 60).

摘要

本研究旨在确定通过自我中毒企图自杀的老年人的社会心理特征。总共对44名通过自我中毒企图自杀的老年人进行了检查,其中12名男性,32名女性,他们的平均年龄为71.9±10.8岁。对照组由53名年轻人组成——19名男性和34名女性,他们的平均年龄为26.6±4.4岁。两组中使用抗癫痫药、镇静药、安眠药、抗帕金森药和精神药物进行蓄意自我中毒的情况占主导(40.9%对47.2%,p>0.05)。在老年人中,使用影响自主神经系统的药物进行蓄意自我中毒的人数(25%对9.4%,p<0.05)明显更多。与年轻人相比,老年人更有可能怀着严重的自杀意图进行自杀企图(62.5%对24.5%,p<0.05)。“怀着严重意图的自杀企图”这一因素与“孤独”(Y=0.68)、“严重身体疾病”(Y=0.58)和“持续疼痛”(Y=0.60)等因素之间存在统计学上的显著正相关。

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