Mühlebach A, Gognalons M, Abensur J, Andreoli A
Clinique de psychiatrie I, Institutions Universitaires de psychiatrie Genevoises.
Ann Med Psychol (Paris). 1993 Jan;151(1):33-46.
Since mortality and suicide were found markedly increased in hospitalized psychiatric patients and may be predicted by treatment assignment, we developed a prospective investigation of treatment choice/mortality and suicide relationships in a well-assessed sample of these subjects. The overall psychiatric patients calling for inpatient care in a Geneva (Switzerland) 115,000 inhabitants catchment area within 2 months (N = 78) entered the study. During the second follow-up year, we found high Standardized Mortality Ratio (SMR respectively 10.5 for overall deaths and 257.7 for suicides). Increased number and crude rates of suicide were associated to emergency intervention only assignment at intake. Suicide risk was underestimated in subjects with acute psychiatric illness, and should be better investigated in the future.
由于发现住院精神科患者的死亡率和自杀率显著增加,且可能由治疗分配情况预测,我们对这些受试者的一个经过充分评估的样本进行了治疗选择/死亡率及自杀关系的前瞻性调查。在瑞士日内瓦一个有11.5万居民的集水区内,两个月内要求住院治疗的所有精神科患者(N = 78)都进入了该研究。在第二个随访年,我们发现标准化死亡率很高(总体死亡的标准化死亡率分别为10.5,自杀的标准化死亡率为257.7)。自杀数量和粗率的增加仅与入院时仅接受紧急干预的分配情况有关。急性精神疾病患者的自杀风险被低估了,未来应进行更好的调查。