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酗酒者中的自杀行为。对88例自杀案例的前瞻性研究:I.首次入院时的多维度诊断。

Suicide in alcoholism. A prospective study of 88 suicides: I. The multidimensional diagnosis at first admission.

作者信息

Berglund M

出版信息

Arch Gen Psychiatry. 1984 Sep;41(9):888-91. doi: 10.1001/archpsyc.1984.01790200070009.

DOI:10.1001/archpsyc.1984.01790200070009
PMID:6466048
Abstract

A series of 1,312 alcoholics admitted to the Department of Psychiatry, University Hospital, Lund, Sweden, from 1949 through 1969, were followed up until Dec 31, 1980. Eighty-eight (16%) of a total of 537 deaths were officially registered as suicides. The conditions of all alcoholics were evaluated with a multidimensional diagnostic rating schedule at first admission. Alcoholics who later committed suicide had a higher rate of depressive and dysphoric symptoms and were more brittle and sensitive than the others, while the frequencies of cognitive impairment and delirium tremens were similar. Peptic ulcers were more frequent in the suicide group (21% v 7%). The ratings did not differentiate between those who committed suicide early or late after admission.

摘要

1949年至1969年期间,瑞典隆德大学医院精神科收治了1312名酗酒者,并对他们进行随访,直至1980年12月31日。在总共537例死亡病例中,有88例(16%)被官方登记为自杀。所有酗酒者在首次入院时都通过多维诊断评定量表进行了评估。后来自杀的酗酒者比其他人有更高的抑郁和烦躁症状发生率,且更脆弱、敏感,而认知障碍和震颤谵妄的发生率相似。自杀组中消化性溃疡更为常见(21% 对7%)。评定结果并未区分入院后早期或晚期自杀的患者。

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