Chin M A, Touquet R, Burns T
Arch Emerg Med. 1986 Sep;3(3):177-82. doi: 10.1136/emj.3.3.177.
In a group of 82 consecutive parasuicide patients attending the St George's Hospital Accident and Emergency Department, London, England, 15 had attended the same department within the preceding 6 months. Thirteen of these 15 had also consulted their general practitioner during this time, as had a further 51 parasuicide patients. Only two out of the 82 patients, therefore, had had sole medical contact with the Accident and Emergency Department in the 6 months prior to their suicide attempt. This is the first such report from an accident and emergency department. It demonstrates that very few patients seek help from, or visit in isolation, this facility prior to a parasuicide episode as opposed to visiting their general practitioner whose importance is reaffirmed. The problems of identifying 'somatising' patients in an accident and emergency department are discussed.
在一组连续82名前往英国伦敦圣乔治医院急诊科就诊的自杀未遂患者中，有15人在之前6个月内曾到过同一科室。这15人中的13人在此期间还咨询过他们的全科医生，另外还有51名自杀未遂患者也咨询过全科医生。因此，在这82名患者中，只有2人在自杀未遂前6个月内仅与急诊科有过医疗接触。这是来自急诊科的首份此类报告。它表明，与去咨询全科医生（其重要性再次得到确认）相比，在自杀未遂事件发生前，很少有患者仅向急诊科寻求帮助或单独前往该科室就诊。文中还讨论了在急诊科识别“躯体化”患者的问题。
