Arch Suicide Res. 2019 Oct-Dec;23(4):564-575. doi: 10.1080/13811118.2018.1438323. Epub 2019 Jul 1.
The objective of this study was to evaluate whether treatment at a psychiatric hospital reduces the risk of repeating parasuicide. Participants were 4,483 parasuicide patients admitted to an emergency department between July 2003 and March 2012. We analyzed the effectiveness of psychiatric hospitalization in preventing repeated parasuicide. We adjusted for background factors using multivariate logistic regression. Effects of psychiatric hospitalization upon the likelihood of repeated parasuicide within 1 year varied by age (especially those aged <35 years), indicating that hospitalization was a significant risk factor. We must be mindful of the risk of repeated parasuicide following discharge in young patients and to provide them with ongoing outpatient care and multimodal support.
本研究旨在评估精神病院治疗是否降低重复自杀未遂的风险。研究对象为 2003 年 7 月至 2012 年 3 月期间因自杀未遂到急诊科就诊的 4483 名患者。我们分析了精神病住院治疗预防重复自杀未遂的效果。我们使用多变量逻辑回归对背景因素进行了调整。精神病住院治疗对 1 年内重复自杀未遂可能性的影响因年龄而异（尤其是年龄<35 岁者），这表明住院是一个显著的风险因素。我们必须注意到年轻患者出院后重复自杀未遂的风险，并为他们提供持续的门诊治疗和多模式支持。
