Schlosser J, Strehle-Jung G
Psychiatr Prax. 1982 Jan;9(1):20-6.
The article reports on a study of 22 suicides which occurred between 1972 and 1978 during inpatient treatment of patients of the Psychiatric Clinic of Hanover Medical College, partly within the premises of the clinic and partly without. The group of patients who committed suicide in the clinic itself is characterised on the basis of the individual social, personal and disease-relevant data and compared with the overall patient population of the clinic. It is found that there was an increase in the suicidal rate following a change in the organisational and therapeutical skeleton concept of the clinic, but the question whether there is a causal relationship must remain unsettled. It is also discussed whether a higher proportion of suicidal risk patients is being admitted to the clinic due to greater emphasis on the care for residents in nearby areas, patients who would otherwise not have been treated on an inpatient basis. Another problem which is considered worth discussing is whether and to what extent rehabilitation activities overtax the facilities and possibilities of some hospitals and to what extent the new - basically favourably rated - clinical concept for suicide-risk patients entails additional burdens which could be met by suitable suicide-preventive measures.
本文报道了一项针对1972年至1978年间在汉诺威医学院精神病诊所住院治疗期间发生的22起自杀事件的研究，部分自杀事件发生在诊所内，部分发生在诊所外。根据个体的社会、个人和疾病相关数据，对在诊所内自杀的患者群体进行了特征描述，并与诊所的总体患者群体进行了比较。研究发现，随着诊所组织和治疗框架概念的改变，自杀率有所上升，但因果关系问题仍未解决。还讨论了是否由于更加强调对附近地区居民的护理，导致更多有自杀风险的患者被收治到诊所，而这些患者原本不会接受住院治疗。另一个值得讨论的问题是，康复活动是否以及在何种程度上使一些医院的设施和能力不堪重负，以及新的——总体评价良好的——针对自杀风险患者的临床概念在何种程度上带来了额外负担，而这些负担可以通过适当的自杀预防措施来应对。
