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心理健康信托机构所照料患者自杀死亡的根本原因:主题分析

Root causes of deaths by suicide among patients under the care of a mental health trust: thematic analysis.

作者信息

Odejimi Opeyemi, Webb Kerry, Bagchi Dhruba, Tadros George

机构信息

Birmingham and Solihull Mental Health Foundation Trust, UK.

Aston University, UK.

出版信息

BJPsych Bull. 2021 Jun;45(3):140-145. doi: 10.1192/bjb.2020.106.

DOI:10.1192/bjb.2020.106
PMID:33183400
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9059293/
Abstract

AIMS AND METHOD

This study explored the root causes of deaths by suicide among patients under the care of a mental health trust. Thematic analysis was carried out to identify themes from the serious incident reports for patients between 1 January 2017 and 31 July 2018.

RESULTS

In total, 48 cases were reviewed. Three main themes emerged from this study: patient-, professional- and organisation-related factors. The majority of the deaths were caused by patient-related factors, particularly exacerbation of the patient's mental health condition.

CLINICAL IMPLICATIONS

This study provides insight into perceived causes of death by suicide among mental health patients. It is hoped that this will, in turn, influence the manner in which decisions, policies and resource allocation are carried out to further prevent and reduce the incidence of suicide, particularly among mental health patients.

摘要

目的与方法

本研究探讨了在精神健康信托机构照料下的患者自杀死亡的根本原因。对2017年1月1日至2018年7月31日期间患者的严重事件报告进行了主题分析,以确定其中的主题。

结果

总共审查了48个案例。本研究出现了三个主要主题:与患者、专业人员和组织相关的因素。大多数死亡是由与患者相关的因素导致的,尤其是患者心理健康状况的恶化。

临床意义

本研究深入了解了精神健康患者自杀死亡的可感知原因。希望这反过来会影响决策、政策和资源分配的实施方式,以进一步预防和减少自杀发生率,尤其是在精神健康患者中。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c2d/9059293/5c840cb722e0/S2056469420001060_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c2d/9059293/5c840cb722e0/S2056469420001060_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c2d/9059293/5c840cb722e0/S2056469420001060_fig1.jpg

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Suicide is a complex problem that requires a range of prevention initiatives and methods of evaluation.自杀是一个复杂的问题,需要采取一系列预防措施和评估方法。
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BMC Psychiatry. 2014 Feb 17;14:44. doi: 10.1186/1471-244X-14-44.
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Suicide risk assessment received prior to suicide death by Veterans Health Administration patients with a history of depression.有抑郁病史的退伍军人健康管理局患者自杀前接受的自杀风险评估。
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