Beskow J
Department of Psychiatry, Sahlgrenska Hospital, Gothenburg.
Acta Psychiatr Scand Suppl. 1987;336:66-75.
The increase in the number of recorded suicides among inpatients in psychiatric care in Sweden can, to a great extent, be attributed to more suicides in the population as a whole, and to an increase and changes in the psychiatric population as well as to improved recording methods. The number of suicides in connection with psychiatric care is, however, higher than usually assumed. If "definite" suicides and "controversial cases" are included, as well as those which occur within a week of discharge, then this figure is 2.5 times the registered number of definite suicides. The importance of various background factors is discussed. Suicidal behaviour can be considered both from a longitudinal as well as from a cross sectional perspective. The insight in the fact that there is a similarity between the suicidal act and accidents leads to important consequences for the prevention of suicide. The present work concludes by suggesting an overall philosophy and recommendations as to preventive work within the field of psychiatry.
瑞典精神科住院患者中记录在案的自杀人数增加，在很大程度上可归因于总体人口中自杀人数的增加、精神科患者数量的增加和变化以及记录方法的改进。然而，与精神科护理相关的自杀人数高于通常的估计。如果将“明确的”自杀、“有争议的案例”以及出院后一周内发生的自杀案例包括在内，那么这一数字是已登记的明确自杀人数的2.5倍。文中讨论了各种背景因素的重要性。自杀行为既可以从纵向也可以从横断面的角度来考虑。认识到自杀行为与事故之间存在相似性，这对预防自杀具有重要意义。本文最后提出了关于精神科预防工作的总体理念和建议。
