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怀特岛的自杀事件:2006年至2008年间心理健康服务使用者中35起自杀事件的案例研究

Suicide on the Isle of Wight: A Case-study of 35 Suicides among Mental Health Service Users Between 2006 and 2008.

作者信息

Shahpesandy Homayun, van Heeswijk Ad

机构信息

Tees, Esk and Wear Valleys NHS Foundation Trust,Roseberry Park,Middlesbrough TS4 3AF.

Acute & Recovery Community Mental Health Service,Chantry House,29-31 Pyle Street,Newport,Isle of Wight PO30 1JW,United Kingdom.

出版信息

Ir J Psychol Med. 2012 Jan;29(2):80-84. doi: 10.1017/S0790966700017341.

Abstract

AIMS

To identify the sociodemographic, clinical and service delivery risk factors for suicide in psychiatric patients in a limited geographic area.

METHOD

A retrospective case study of 35 patients who died as a result of suicide between January 2006 and December 2008.

RESULTS

Male gender, unemployment, living alone, basic education and significant life events were identified as sociodemographic factors. A history of previous psychiatric admission, previous suicide attempt, suffering from depression, co-morbidity of another psychiatric disorder (mainly stress-related symptoms and alcoholism), and contacting the services prior to suicide were found as typical clinical factors. Hanging was the most common method of suicide in both men and women. Most men died in spring and summer, while the majority of females died in autumn.

CLINICAL IMPLICATIONS

As in similar studies, mental disorders could be identified as the strongest risk factor for suicide. Almost 70% of suicides were conducted by people suffering from a mental disorder. Treating mental disorders and identifying certain sociodemographic and clinical characteristics of people suffering from mental disorders and addressing them is the key in suicide prevention strategies.

摘要

目的

确定有限地理区域内精神科患者自杀的社会人口学、临床和服务提供方面的风险因素。

方法

对2006年1月至2008年12月期间35例自杀死亡患者进行回顾性病例研究。

结果

男性、失业、独居、基础教育和重大生活事件被确定为社会人口学因素。既往有精神科住院史、既往自杀未遂史、患有抑郁症、合并其他精神障碍(主要是与压力相关的症状和酗酒)以及自杀前接触过服务机构被发现为典型的临床因素。上吊是男性和女性最常见的自杀方式。大多数男性在春季和夏季死亡,而大多数女性在秋季死亡。

临床意义

与类似研究一样,精神障碍可被确定为自杀的最强风险因素。近70%的自杀是由患有精神障碍的人实施的。治疗精神障碍,识别患有精神障碍的人的某些社会人口学和临床特征并加以解决,是自杀预防策略的关键。

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