比利时住院精神病患者的自杀。在比利时一所教学医院进行的匹配病例对照研究。

Suicide in Belgian psychiatric inpatients. A matched case-control study in a Belgian teaching hospital.

机构信息

AZ Jan Portaels, Vilvoorde, Belgium; Universitair Psychiatrisch Centrum, KU Leuven, Leuven, Belgium.

Universitair Psychiatrisch Centrum, KU Leuven, Leuven, Belgium.

出版信息

Arch Psychiatr Nurs. 2020 Apr;34(2):8-13. doi: 10.1016/j.apnu.2019.12.004. Epub 2019 Dec 12.

DOI:10.1016/j.apnu.2019.12.004

PMID:32248938

Abstract

BACKGROUND AND OBJECTIVES

Patients admitted to a psychiatric hospital show an increased risk for suicide but specific risk factors are not well understood.

METHODS

In this case-control study we describe suicides (n = 37) that took place during admission in a Flemish psychiatric teaching hospital between 2007 and 2015 and investigate predictive factors for suicide.

RESULTS

Inpatient suicide is a rare condition (37 patients among 20,442 admission periods between 2007 and 2015). Most inpatients who completed suicide were diagnosed with a mood disorder (68%); 38% committed suicide in the first month of hospitalization and 19% in the first week following admission. The majority of suicides took place just before or during the weekend (57%), with hanging as the prominent method (41%). Multivariate analysis showed that hopelessness was the only significant risk factor for inpatient suicide.

CONCLUSIONS

Inpatient suicide remains a very rare event in inpatient care. Enquiring and managing hopelessness is essential in inpatient treatment of psychiatric patients.

摘要

背景与目的

住院精神病患者自杀风险增加，但具体的风险因素尚不清楚。

方法

在这项病例对照研究中，我们描述了 2007 年至 2015 年期间在一家佛兰芒精神病教学医院住院期间发生的自杀事件（n=37），并调查了自杀的预测因素。

结果

住院自杀是一种罕见的情况（2007 年至 2015 年期间，37 名患者中有 20442 名住院期）。大多数自杀的住院患者被诊断为心境障碍（68%）；38%在住院的第一个月自杀，19%在入院后的第一周自杀。大多数自杀发生在周末前后（57%），突出的方法是上吊（41%）。多变量分析显示，绝望是住院自杀的唯一显著危险因素。