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[综合医院收治的自杀患者的未来。两种预防复发和自杀方法的比较研究]

[The future of suicidal patients admitted to a general hospital. Comparative study of 2 methods of prevention recurrence and of suicides].

作者信息

Wulliemier F, Bovet J, Meylan D

出版信息

Soz Praventivmed. 1979 Feb;24(1):73-88. doi: 10.1007/BF02083329.

DOI:10.1007/BF02083329
PMID:425718
Abstract

This is a comparative study of two groups of suicide attempters admitted in a general hospital, who were treated in different ways. The 143 attempters of the "systematically treated group (STG)" were proposed the classical therapeutic measures (supportive psychotherapy, psychiatric hospitalization, crisis interventions within couples or families, mixed interventions with the above treatments, psychoanalytically oriented psychotherapy, etc.), plus ambulatory controls (a few days after discharge from the general hospital, after one month, three months, six months, a year, and two years). The 145 attempters of the "reference group (RG)" were proposed the classical measures only. All the attempters of both groups had a follow-up after two years. The results suggest the controls to be probably responsible for the difference of relapses and committed suicides between the two groups. More indirectly, this study facilitated a further analysis of the relational problems between suicide attempters and staff, and among staff members themselves. The consequences were a modification of some attitudes of the staff toward the attempters and their significant others, and a new collaboration for an interdisciplinary clinical research.

摘要

这是一项针对综合医院收治的两组自杀未遂者的对比研究,他们接受了不同的治疗方式。“系统治疗组(STG)”的143名未遂者接受了经典治疗措施(支持性心理治疗、精神科住院治疗、夫妻或家庭危机干预、上述治疗的混合干预、精神分析取向的心理治疗等),外加门诊随访(从综合医院出院后几天、一个月、三个月、六个月、一年和两年)。“参照组(RG)”的145名未遂者仅接受了经典措施。两组所有未遂者均在两年后进行了随访。结果表明,随访可能是两组之间复发和自杀情况差异的原因。更间接的是,这项研究促进了对自杀未遂者与工作人员之间以及工作人员自身之间关系问题的进一步分析。结果是工作人员对未遂者及其重要他人的一些态度发生了改变,以及开展了一项跨学科临床研究的新合作。

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[Results of a clinico-experimental evaluation of suicide prevention programs].
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Determination of treatment disposal for parasuicide patients in a German university hospital.
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