Sundqvist-Stensman U B
Acta Psychiatr Scand. 1987 Jul;76(1):15-20. doi: 10.1111/j.1600-0447.1987.tb02856.x.
Among 523 suicides committed in 1977-1984, 10 took place in a psychiatric hospital ward, 17 after the patient had left the ward without permission, 21 while the patient was on leave and nine 0-7 days after discharge. These 57 subjects were compared with 271 suicides committed more than 7 days after discharge or during outpatient care only (PCO). The male:female ratio was 1.0 in the former (PCI) group and 2.0 in the PCO group. The median age of the PCI subjects was 38 years. The suicide method was hanging in all 10 suicides (2 males, 8 females) committed in the psychiatric hospital ward. Depressive syndromes and, particularly schizophrenic and paranoid psychoses were more frequent among the PCI than among the PCO subjects. The extent of psychiatric care, as assessed by the number of admissions, was much greater in the PCI than in the PCO subjects. Environmental factors that might have been of causative importance for the suicidal act were of various kinds and differed to some extent between the two groups. Among the PCI subjects women seemed to have experienced family troubles more often than men, and situations of stressful psychiatric rehabilitation were more common among men.
在1977年至1984年间发生的523起自杀事件中，有10起发生在精神病院病房内，17起发生在患者未经许可离开病房之后，21起发生在患者请假期间，9起发生在出院后0至7天内。将这57名自杀者与271名在出院7天以后或仅在门诊治疗期间（PCO）自杀的患者进行了比较。在前一组（PCI）中，男女比例为1.0，而在PCO组中为2.0。PCI组自杀者的年龄中位数为38岁。在精神病院病房内发生的所有10起自杀事件（2名男性，8名女性）中，自杀方式均为上吊。与PCO组自杀者相比，PCI组自杀者中抑郁综合征，尤其是精神分裂症和偏执性精神病更为常见。以住院次数评估的精神科护理程度，PCI组远高于PCO组。可能对自杀行为具有因果关系重要性的环境因素多种多样，两组之间在一定程度上有所不同。在PCI组自杀者中，女性似乎比男性更多地经历了家庭问题，而压力较大的精神科康复情况在男性中更为常见。
