Golay Philippe, Ostertag Louise, Costanza Alessandra, Van der Vaeren Bénédicte, Dorogi Yves, Saillant Stéphane, Michaud Laurent
Community Psychiatry Service, Department of Psychiatry, Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland.
General Psychiatry Service, Treatment and Early Intervention in Psychosis Program (TIPP-Lausanne), Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland.
Ann Gen Psychiatry. 2021 May 13;20(1):30. doi: 10.1186/s12991-021-00351-5.
Self-harm (SH) is among the strongest predictors of further episodes of SH, suicide attempt, and death by suicide. People who repeteadly harm themselves are at even higher risk for suicide. Factors influencing the repetition are important to identify when assessing suicidal risk and thereafter to offer specific interventions. Therefore, this study aimed to compare first versus multiple episodes characteristics in a large sample of patients in french-speaking Switzerland.
We used the database from the French-speaking Swiss program for monitoring SH. Data of the psychiatric assessment of all adults admitted for SH were collected in the emergency department of four Swiss city hospitals between December 2016 and October 2019.
1730 episodes of SH were included. Several variables were significantly associated with multiple episodes, including diagnosis (over representation of personality disorders and under representation of anxiety disorders), professional activity (Invalidity insurance more frequent) and prior psychiatry care.
Patients suffering from a personality disorder and those with invalidity insurance are at risk for multiple episodes of SH and should be targeted with specific interventions.
自我伤害是进一步发生自我伤害、自杀未遂和自杀死亡的最强预测因素之一。反复自我伤害的人自杀风险更高。在评估自杀风险并随后提供特定干预措施时，识别影响重复行为的因素很重要。因此，本研究旨在比较瑞士法语区大量患者首次发作与多次发作的特征。
我们使用了瑞士法语区自我伤害监测项目的数据库。2016年12月至2019年10月期间，在瑞士四家城市医院的急诊科收集了所有因自我伤害入院的成年人的精神评估数据。
共纳入1730次自我伤害发作。几个变量与多次发作显著相关，包括诊断（人格障碍比例过高，焦虑症比例过低）、职业活动（残疾保险更常见）和既往精神科护理。
患有精神障碍的患者和有残疾保险的患者有多次自我伤害发作的风险，应针对他们进行特定干预。
