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本文引用的文献

1
Inpatient Suicides in Late Life: A Retrospective Analysis of a Hospital Group with Nine Psychiatric Clinics.老年住院患者自杀:一家拥有九家精神科诊所的医院群体的回顾性分析。
Arch Suicide Res. 2022 Jul-Sep;26(3):1436-1446. doi: 10.1080/13811118.2021.1922107. Epub 2021 May 19.
2
Patient safety and suicide prevention in mental health services: time for a new paradigm?精神卫生服务中的患者安全与自杀预防:是时候采用新范式了吗?
J Ment Health. 2020 Feb;29(1):1-5. doi: 10.1080/09638237.2020.1714013. Epub 2020 Jan 27.
3
Suicide Prevention Strategies for General Hospital and Psychiatric Inpatients: A Narrative Review.综合医院和精神科住院患者的自杀预防策略:一项叙述性综述
Indian J Psychol Med. 2019 Sep 5;41(5):403-412. doi: 10.4103/IJPSYM.IJPSYM_169_19. eCollection 2019 Sep-Oct.
4
A study of the epidemiology and risk factors for attempted suicide and suicide among non-psychiatric inpatients in 48 general hospitals in Hubei province, China, 2015-2017.中国湖北省 48 家综合医院 2015-2017 年非精神科住院患者自杀未遂和自杀的流行病学及危险因素研究。
Gen Hosp Psychiatry. 2020 Mar-Apr;63:21-29. doi: 10.1016/j.genhosppsych.2019.06.003. Epub 2019 Jun 8.
5
Characteristics of Inpatients Who Survive Suicide Attempts.自杀未遂住院患者的特征。
Osong Public Health Res Perspect. 2019 Feb;10(1):32-38. doi: 10.24171/j.phrp.2019.10.1.07.
6
Prevalence and characteristics of suicidal ideation among 2199 elderly inpatients with surgical or medical conditions in Taiwan.台湾 2199 例手术或内科住院老年患者自杀意念的发生率及特征。
BMC Psychiatry. 2018 Dec 22;18(1):397. doi: 10.1186/s12888-018-1981-7.
7
Incidence and Method of Suicide in Hospitals in the United States.美国医院的自杀发生率及方式
Jt Comm J Qual Patient Saf. 2018 Nov;44(11):643-650. doi: 10.1016/j.jcjq.2018.08.002. Epub 2018 Sep 3.
8
Suicidal ideation among Chinese cancer inpatients of general hospitals: prevalence and correlates.综合医院中国癌症住院患者的自杀意念:患病率及相关因素
Oncotarget. 2017 Apr 11;8(15):25141-25150. doi: 10.18632/oncotarget.15350.
9
Resilient health care: turning patient safety on its head.韧性医疗保健:彻底转变患者安全理念。
Int J Qual Health Care. 2015 Oct;27(5):418-20. doi: 10.1093/intqhc/mzv063. Epub 2015 Aug 20.
10
The Impact of Suicide on Co-patients.自杀对共病患者的影响。
Psychiatr Q. 2015 Dec;86(4):449-57. doi: 10.1007/s11126-015-9346-6.

影响韩国住院患者院内自杀死亡的因素。

Factors Affecting Inpatients' Mortality through Intentional Self-Harm at In-Hospitals in South Korea.

机构信息

College of Applied Health Science, Biomedical Health Information Science, University of Illinois at Chicago, 1919 W Taylor St, Chicago, IL 60612, USA.

Department of Health Management, Jeonju University, 303 Cheonjam-ro, Wansan-gu, Jeonju-si 55069, Republic of Korea.

出版信息

Int J Environ Res Public Health. 2023 Feb 10;20(4):3095. doi: 10.3390/ijerph20043095.

DOI:10.3390/ijerph20043095
PMID:36833790
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9965832/
Abstract

This study aimed to identify the patient characteristics, comorbidities, risk factors, and means of the self-harm of patients who attempt self-harm in and outside of a hospital, and to determine the characteristics of death by suicide among survival and death patient groups in South Korea. This study used data from the Korean National Hospital Discharge In-depth Injury Survey conducted from 2007 to 2019. In total, 7192 outpatient participants and 43 inpatient participants performed self-harm. Frequency analysis, chi-square tests, Fisher's exact test, and logistic regression analysis were performed using STATA, version 15.0 (StataCorp), and statistical significance was set at 5%. Thirty-one inpatients who performed self-harm survived, and 12 died. Among male inpatients, the older they were, the higher the rates of self-harm and mortality rates due to falls and poisoning if they had comorbidities and financial problems. In addition, the rate of self-harm attempts within a short period after hospitalization was high. Our evidence of the characteristics of patients who performed self-harm in the hospital and the influencing factors of self-harm can be used as primary data for predicting patients at a high risk of self-harm and for creating preventative policies to reduce the risk of self-harm among inpatients in South Korea.

摘要

本研究旨在确定在医院内外进行自残的患者的特征、合并症、风险因素和自残方式,并确定韩国生存和死亡患者群体中自杀死亡的特征。本研究使用了 2007 年至 2019 年进行的韩国国家医院出院深度伤害调查的数据。共有 7192 名门诊参与者和 43 名住院参与者进行了自残。使用 STATA 版本 15.0(StataCorp)进行频率分析、卡方检验、Fisher 确切检验和逻辑回归分析,统计显著性设置为 5%。31 名住院患者进行自残后幸存,12 名死亡。在男性住院患者中,如果他们有合并症和经济问题,年龄越大,自残和因跌倒和中毒导致的死亡率就越高。此外,住院后短时间内进行自残的比例较高。我们对在医院进行自残的患者特征和自残影响因素的证据可以作为预测高自杀风险患者的主要数据,并制定预防政策,以降低韩国住院患者的自残风险。