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精神科急诊患者自杀未遂的描述性横断面研究。

Suicidal Attempt among Psychiatry Patients Presented to the Department of Emergency of a Tertiary Care Centre: A Descriptive Cross-sectional Study.

机构信息

Department of Psychiatry, Everest Hospital, New Baneshwor, Kathmandu, Nepal.

Department of Psychiatry, Universal College of Medical Sciences and Teaching Hospital, Bhairahawa, Rupandehi, Nepal.

出版信息

JNMA J Nepal Med Assoc. 2023 May 1;61(261):442-445. doi: 10.31729/jnma.8156.

Abstract

INTRODUCTION

More than 700, 000 people die due to suicide every year. Suicide is the fourth leading cause of death among 15-29 year-olds. A total of 77% of global suicides occur in low- and middle-income countries. There is an increasing number of suicide all over the world. There is limited data regarding this issue. The available data are based on police reports or on specific populations. The aim of this study was to find out the prevalence of suicidal attempts among psychiatry patients presented to the Department of Emergency of a tertiary care centre.

METHODS

A Descriptive cross-sectional study was done in a tertiary care centre from January 2019 to July 2020 after taking Ethical approval from the same institute. Beck Suicide Intent Scale, MINI-7, IPDE and PLESS were used to assess suicidal intent, psychiatric comorbidities, personality disorder and life stress event scores respectively. Bronfenbrenner's Social Ecological Model was used to access various stressors. Point estimate and 95% Confidence Interval were calculated.

RESULTS

The Prevalence of suicidal attempts among psychiatry patients in the emergency department was 265 (24.50%), (21.66-26.74, 95% Confidence Interval). The majority were females 135 (51%). The majority attempted at home 238 (89.81%). Poisoning was the most common mode of attempting suicide.

CONCLUSIONS

The Prevalence of suicidal attempts among psychiatry patients was higher than in the other studies done in similar settings.

KEYWORDS

comorbidity; cross-sectional studies; prevalence; psychosocial factors; suicide attempt.

摘要

介绍

每年有超过 70 万人死于自杀。自杀是 15-29 岁人群的第四大死因。全球 77%的自杀发生在中低收入国家。世界各地的自杀人数不断增加。关于这个问题的数据有限。可用的数据基于警方报告或特定人群。本研究的目的是了解在三级保健中心急诊部就诊的精神病患者自杀未遂的发生率。

方法

在获得同一机构的伦理批准后,于 2019 年 1 月至 2020 年 7 月在三级保健中心进行了描述性横断面研究。贝克自杀意念量表、MINI-7、IPDE 和 PLESS 分别用于评估自杀意念、精神共病、人格障碍和生活应激事件评分。布伦芬布伦纳的社会生态模型用于评估各种应激源。计算了点估计值和 95%置信区间。

结果

急诊科精神病患者自杀未遂的发生率为 265 例(24.50%)(21.66-26.74,95%置信区间)。大多数是女性 135 例(51%)。大多数在家中尝试自杀 238 例(89.81%)。中毒是最常见的自杀方式。

结论

在急诊科就诊的精神病患者自杀未遂的发生率高于在类似环境中进行的其他研究。

关键词

共病;横断面研究;流行率;心理社会因素;自杀未遂。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/55e0/10896451/2e7fd1f5df72/JNMA-61-261-442-g1.jpg

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