Adam K S, Isherwood J, Taylor G, Scarr G, Streiner D L
N Z Med J. 1981 Jun 10;93(685):376-81.
Of 195 consecutive patients who had been admitted to hospital for suicide attempt, five died later from a further attempt, and 144 were available for a three-year follow-up study. Twenty-nine patients made subsequent suicide attempts. On discharge from hospital psychiatric treatment was carried out and completed in 40.3 percent, partially completed in 11.1 percent and 18.8 percent did not complete treatment. On a self-rating basis, 8 percent thought they were worse, 32 percent unchanged and 42 percent were improved. There were extensive interpersonal disturbances and a high percentage of patients had changed relationships in the follow-up period. The high persistence of suicidal activity in these patients is discussed.
在195例因自杀未遂而连续入院的患者中,有5例后来再次尝试自杀并死亡,144例可进行为期三年的随访研究。29例患者随后再次尝试自杀。出院时,40.3%的患者接受并完成了精神科治疗,11.1%的患者部分完成了治疗,18.8%的患者未完成治疗。根据自评,8%的患者认为自己病情恶化,32%的患者病情未变,42%的患者病情有所改善。患者存在广泛的人际困扰,且在随访期间有很大比例的患者人际关系发生了变化。本文讨论了这些患者自杀行为的高持续性。