King C A, Franzese R, Gargan S, McGovern L, Ghaziuddin N, Naylor M W
Department of Psychiatry, University of Michigan Medical Center, Ann Arbor 48109, USA.
Psychiatr Serv. 1995 Sep;46(9):915-8. doi: 10.1176/ps.46.9.915.
The study investigated whether exposure to other suicidal adolescents led to suicide contagion among patients hospitalized on an acute adolescent psychiatry unit. It also examined whether some adolescents express more suicidality during hospitalization than before admission.
Fifty-seven adolescents with a range of diagnoses admitted to a university-based psychiatric inpatient unit were assessed for suicidality at hospital admission and discharge using the Spectrum of Suicide Behavior scale and the Suicidal Ideation Questionnaire-Jr. Suicidal intent or behavior was the primary reason for admission of 58 percent of the patients.
Despite many patients' severe suicide risk at hospital admission, 94 percent expressed no active suicidal intent and engaged in no behavior that could be considered suicidal during hospitalization. Four patients engaged in possibly suicidal, self-cutting behaviors; however, these incidents did not cluster in time. Fourteen patients (26 percent) expressed a significant increase in suicidal ideation during hospitalization, but the increase was not associated with study measures of exposure to other suicidal adolescents.
Contagion of suicidal behaviors may not be a frequent or significant problem on acute adolescent inpatient units, although the phenomenon of increased suicidal ideation among some inpatients warrants further study.
该研究调查了接触其他有自杀倾向的青少年是否会导致在青少年急性精神病科住院的患者出现自杀式蔓延。研究还考察了是否有一些青少年在住院期间比入院前表现出更强的自杀倾向。
对一所大学精神病住院部收治的57名患有多种诊断的青少年，在入院和出院时使用自杀行为量表和自杀意念问卷简版评估其自杀倾向。58%的患者入院的主要原因是有自杀意图或行为。
尽管许多患者入院时存在严重的自杀风险，但94%的患者在住院期间未表现出积极的自杀意图，也未出现可被视为自杀的行为。4名患者出现了可能具有自杀倾向的自伤行为；然而，这些事件并未在时间上集中发生。14名患者（26%）在住院期间自杀意念显著增加，但这种增加与接触其他有自杀倾向青少年的研究指标无关。
自杀行为的蔓延在青少年急性住院部可能不是一个常见或严重的问题，尽管一些住院患者自杀意念增加的现象值得进一步研究。
