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贝鲁特一所大学附属医院急诊科自杀意念和行为的正相关性和负相关性:一项横断面对比研究。

Positive and negative correlates of suicidal ideations and behaviors in the emergency department of a university hospital in Beirut: A cross-sectional comparative study.

机构信息

Department of Psychiatry, Saint-Joseph University, Hôtel-Dieu de France, Beirut, Lebanon.

Department of Psychiatry, Saint-Joseph University, Hôtel-Dieu de France, Beirut, Lebanon; Clinique Psychiatrique Universitaire, CHRU Tours, 37000 Tours, France.

出版信息

Encephale. 2023 Jun;49(3):248-253. doi: 10.1016/j.encep.2021.11.003. Epub 2022 Feb 11.

Abstract

This study aims to identify the prevalence and correlates of current suicidal ideations and past suicidal behaviors among psychiatric emergencies. A cross-sectional comparative study was conducted using the Ask Suicide Screening Questions (ASQ) as a screening tool that targeted all patients presenting for a psychiatric emergency in a university hospital in Beirut during a four-month period. One hundred and three patients of all age groups have been divided into a group of patients with a positive suicidal screening (n=67, 65%), and another one with a negative suicidal screening (n=36, 35%). Suffering from a personality disorder was found to be a positive correlate of suicide screening (OR: 21.6, 95% CI: 2.6-179.0). Female gender (OR: 4.5, 95% CI: 1.6-13.2) and an elevated number of previous hospitalizations were found to be positive correlates of past suicidal attempts. These correlates should be assessed in the emergency room department (ER) to prevent any subsequent suicidal behavior.

摘要

本研究旨在确定精神科急症患者当前自杀意念和既往自杀行为的患病率及其相关因素。采用横断面比较研究,使用自杀筛查问题询问表(ASQ)作为筛查工具,该工具针对贝鲁特一所大学医院在四个月期间内所有因精神科急症就诊的患者。将所有年龄段的 103 名患者分为阳性自杀筛查组(n=67,65%)和阴性自杀筛查组(n=36,35%)。患有人格障碍被发现与自杀筛查呈正相关(OR:21.6,95%CI:2.6-179.0)。女性(OR:4.5,95%CI:1.6-13.2)和既往住院次数增加被发现与既往自杀企图呈正相关。这些相关因素应在急诊室(ER)进行评估,以预防任何后续的自杀行为。

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