Department of Psychiatry, Helgeland Hospital Trust, 8802 Sandnessjøen, Norway.
Department of Health and Care Sciences, UiT The Arctic University of Tromsø, 9037 Tromsø, Norway.
Int J Environ Res Public Health. 2023 Feb 24;20(5):4083. doi: 10.3390/ijerph20054083.
The aim of this study was to identify characteristics that differentiate patients who complete suicide (SC) from patients with suicide attempts (SA) while undergoing treatment in Norway. We examined data from the Norwegian System of Patient Injury Compensation (Norsk Pasientskade Erstatning-NPE). Data were extracted from NPE case records from a 10-year period (2009-2019) for 356 individuals who attempted ( = 78) or died by ( = 278) suicide. The two groups differed significantly in the types of medical errors identified by experts. Inadequate suicide risk assessment tended to be proportionally and significantly more prevalent among SC compared to SA. There was a weak but significant trend that SA had received medication only, whereas SC had received both medication and psychotherapy. There were no significant differences with respect to age group, gender, diagnostic category, number of previous suicide attempts, inpatient/outpatient status, or category of responsible clinic. We conclude that suicide attempters and suicide completers differed in terms of identified medical errors. Focusing on the prevention of these and other types of errors could help to reduce the number of suicides of patients in treatment.
本研究旨在确定在挪威接受治疗的自杀未遂(SA)和自杀既遂(SC)患者之间的特征差异。我们研究了挪威患者伤害赔偿系统(Norsk Pasientskade Erstatning-NPE)的十年(2009-2019 年)的数据。从 NPE 案例记录中提取了 356 名自杀未遂(=78 人)或自杀死亡(=278 人)患者的数据。专家识别的医疗失误类型在这两组之间存在显著差异。自杀风险评估不足的情况在 SC 中明显更为普遍,而在 SA 中则相对较少。SA 组仅接受药物治疗,而 SC 组则同时接受药物和心理治疗,这种趋势虽然较弱,但具有统计学意义。两组在年龄组、性别、诊断类别、之前自杀尝试次数、住院/门诊状态或责任诊所类别方面没有显著差异。我们的结论是,自杀未遂者和自杀既遂者在确定的医疗失误方面存在差异。关注这些和其他类型的失误的预防,可能有助于减少治疗中的患者自杀人数。