Ripley H S
West J Med. 1979 May;130(5):408-10.
Of 14 medical and surgical patients who committed suicide in a general hospital, there were ten men and four women, ranging in age from 19 to 82. The patients had not made statements of suicidal intent; however, their hospital records showed there had been symptoms of depression and contained indirect references to a preoccupation with suicide. Most of the patients had been depressed because of their illnesses or distressing symptoms. It is important to keep in mind that there are clues that help anticipate suicide. Awareness by hospital staffs of symptoms and subtle signs of depression and of suicidal thoughts in patients is important in reducing the number of suicides in general hospitals. Of preventive and treatment measures, warmth, compassion and commitment to the care of patients by hospital staffs are most important.
在一家综合医院自杀的14名内科和外科患者中,有10名男性和4名女性,年龄在19岁至82岁之间。这些患者之前并未表达过自杀意图;然而,他们的医院记录显示曾有抑郁症状,且间接提及有自杀倾向。大多数患者因自身疾病或令人痛苦的症状而情绪低落。重要的是要记住,存在一些有助于预测自杀的线索。医院工作人员了解患者的抑郁症状、细微迹象以及自杀想法,对于减少综合医院的自杀人数至关重要。在预防和治疗措施方面,医院工作人员对患者的关怀、同情和全身心投入最为重要。