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自杀未遂的社会、毒理学和气象学数据。

Social, toxicological and meteorological data on suicide attempts.

作者信息

Breuer H W, Breuer J, Fischbach-Breuer B R

出版信息

Eur Arch Psychiatry Neurol Sci. 1986;235(6):367-70. doi: 10.1007/BF00381006.

Abstract

A sample of 151 patients, admitted to an Intensive Care Unit after attempted suicide by poisoning was analysed with regard to age, drugs consumed, possible causal factors and influence of weather. The German Weather Service provided the meteorological data. Mean age of the patients was 37.6 years. The patients had taken barbiturates, aggressive chemicals, tranquillizers or a combination of drugs (47%). Alcohol had been taken in addition to the drugs in 24%, which might indicate a trigger function. The main provoking causes for the suicide attempts were conflicts in partnerships and occupational problems. Some 15% of the patients had previously diagnosed psychiatric disorders. There was a significant positive correlation between the time of attempted suicide and the weather parameters "stable upslide, labile upslide, fog, thunderstorm, warm air, upslide and weather drier than on the 2 preceding days". Significantly fewer attempts than expected occurred with "low pressure and trough situation, labile ground layer-upslide above, subsidence or downslide motion". Apart from individual provoking factors, such as the reaction to conflicts and the spectrum of reactions, exogenous factors like weather must be considered as important for the timing of suicide attempts. These results may be of relevance for suicide prevention.

摘要

对151名因中毒自杀未遂后入住重症监护病房的患者样本,就年龄、所服用药物、可能的诱发因素以及天气影响进行了分析。德国气象局提供了气象数据。患者的平均年龄为37.6岁。患者服用了巴比妥类药物、腐蚀性化学品、镇静剂或多种药物组合(47%)。24%的患者在服药的同时还饮酒,这可能表明酒精起到了触发作用。自杀未遂的主要诱发原因是人际关系冲突和职业问题。约15%的患者此前被诊断患有精神疾病。自杀未遂时间与天气参数“稳定上升、不稳定上升、雾、雷暴、暖空气、上升以及比前两天更干燥的天气”之间存在显著正相关。在“低压和槽形势、不稳定地面层上方上升、下沉或下滑运动”情况下,自杀未遂次数明显少于预期。除了诸如对冲突的反应和反应范围等个体诱发因素外,天气等外部因素对于自杀未遂的时间而言也必须被视为重要因素。这些结果可能对自杀预防具有重要意义。

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