Lockwood Katie, Smith Kirsty, Taylor Ruth, Ahmed Alia
Department of Dermatology Swansea Bay University Health Board Swansea UK.
King Edward VII Hospital, Windsor London UK.
Skin Health Dis. 2023 May 25;3(4):e207. doi: 10.1002/ski2.207. eCollection 2023 Aug.
It is well known that skin disease is associated with significant psychosocial morbidity, and that patients with skin disease can present with higher rates of suicidality than the general population. Clinicians often report numerous barriers to detecting and managing suicidality in busy outpatient settings. We aimed to establish the degree of suicidality within our psychodermatology patients and establish key characteristics that may serve as additional risk factors for suicidality. We conducted a retrospective review of clinical letters, patient notes, and a clinical database, for all 69 patients that attended our psychodermatology clinic since it was founded. Two practitioners independently recorded patient baseline demographics, presenting dermatological condition, comorbidities, Dermatology Life Quality Index scores and self-reported suicidal behaviour for each patient. From this we calculated how many patients displayed signs of active suicidality, and identified common themes and characteristics within this patient group. We went onto develop a flow diagram to guide professionals when faced with an actively suicidal patient in clinic.
众所周知，皮肤病与严重的社会心理疾病相关，皮肤病患者的自杀率可能高于普通人群。临床医生经常报告在繁忙的门诊环境中检测和管理自杀倾向存在诸多障碍。我们旨在确定心理皮肤科患者的自杀倾向程度，并确定可能作为自杀倾向额外风险因素的关键特征。我们对自心理皮肤科诊所成立以来就诊的所有69例患者的临床信件、患者记录和临床数据库进行了回顾性分析。两名从业者独立记录了每位患者的基线人口统计学数据、呈现的皮肤病状况、合并症、皮肤病生活质量指数评分以及自我报告的自杀行为。据此，我们计算出有多少患者表现出积极自杀倾向的迹象，并确定了该患者群体中的共同主题和特征。我们进而制定了一个流程图，以指导专业人员在诊所遇到有积极自杀倾向的患者时如何应对。
