Department of Psychiatry and Mental Health, Consorci Hospitalari de Vic, 08500 Vic, Spain.
Faculty of Health Sciences and Wellbeing, University of Vic-Central University of Catalonia, 08500 Vic, Spain.
Int J Environ Res Public Health. 2020 Nov 25;17(23):8765. doi: 10.3390/ijerph17238765.
Suicidal behaviour is a major public health problem that needs to be tackled by all health agents including mental health nurses.
The purpose of this study was to analyse the relationship between demographic and clinical characteristics and different kinds of suicidal behaviour with a nurse-led suicide prevention programme.
The design was a cross-sectional study, performed in the region of Osona (Catalonia) in the five-year period 2013-2017. Suicidal behaviour was classified as suicidal ideation, interrupted self-directed violence, suicide attempt or completed suicide.
The sample included 753 patients (of whom 53 completed suicide) who experienced 931 suicidal behaviour episodes. Men represented only 38.4% of the sample but 81.1% of completed suicides. Mental disorders were associated with suicidal behaviour in 75.4% of the sample. Two thirds (66.4%) of the individuals (0.8% ( = 4) of whom completed suicide) were participants in a nurse-led suicidal behaviour case management programme.
The main risk factors were being a woman for suicidal behaviour and being a man and being older for completed suicide. Mental disorders, widowhood and retirement were also associated with completed suicide. The completed suicide rate was lower among participants in the nurse-led programme.
目的：本研究旨在分析人口统计学和临床特征与不同类型自杀行为与以护士为主导的自杀预防计划之间的关系。
方法：该设计为 2013-2017 年五年期间在奥索尼地区（加泰罗尼亚）进行的横断面研究。自杀行为分为自杀意念、自我导向的中断暴力、自杀企图或完成自杀。
结果：该样本包括 753 名患者（其中 53 人完成自杀），经历了 931 次自杀行为发作。男性仅占样本的 38.4%，但占完成自杀的 81.1%。精神障碍与样本中 75.4%的自杀行为有关。三分之二（66.4%）的人（其中 0.8%（=4）完成自杀）参加了以护士为主导的自杀行为病例管理计划。
结论：主要的风险因素是女性自杀行为，男性和年龄较大是完成自杀的风险因素。精神障碍、丧偶和退休也与完成自杀有关。参加护士主导的计划的人完成自杀的比率较低。
