Zimmerman M, Lish J D, Lush D T, Farber N J, Plescia G, Kuzma M A
Department of Psychiatry, Medical College of Pennsylvania, USA.
J Gen Intern Med. 1995 Oct;10(10):573-6. doi: 10.1007/BF02640368.
The prevalence of current suicidal ideation among urban primary care outpatients was assessed, and suicidal and non-suicidal patients were compared with regard to their demographic characteristics and their attitudes toward mental health screening. Twenty (3.3%) patients reported having thoughts of killing themselves. The patients who had suicidal ideation were significantly younger and more frequently divorced. Almost all (97.6%) of the patients indicated that their physicians should inquire about emotional health issues at some time, and the suicidal patients were nonsignificantly more likely to recommend inquiry about psychiatric symptoms at every visit (55.0% vs 37.0%, p < 0.11). Only half of the suicidal patients reported lifetime histories of mental health treatment. The majority (70.2%) of the patients believed that it would be easy to discuss mental health problems with their medical physicians. Among the patients who had previously received psychiatric treatment, the suicidal patients were nearly three times more likely to anticipate that it would be difficult or very difficult to talk to their physicians about psychiatric problems. In contrast, among the patients who had no history of mental health treatment, there was no association between suicidal ideation and anticipated discomfort in talking with their physicians about emotional health.
评估了城市基层医疗门诊患者中当前自杀意念的患病率，并比较了有自杀倾向和无自杀倾向患者的人口统计学特征以及他们对心理健康筛查的态度。20名（3.3%）患者报告有自杀念头。有自杀意念的患者明显更年轻，离婚的频率更高。几乎所有（97.6%）患者表示医生应在某些时候询问情绪健康问题，有自杀倾向的患者每次就诊时建议询问精神症状的可能性略高（55.0%对37.0%，p<0.11）。只有一半有自杀倾向的患者报告有终身心理健康治疗史。大多数（70.2%）患者认为与医生讨论心理健康问题很容易。在先前接受过精神治疗的患者中，有自杀倾向的患者预计与医生谈论精神问题困难或非常困难的可能性几乎是其他患者的三倍。相比之下，在没有心理健康治疗史的患者中，自杀意念与预期与医生谈论情绪健康时的不适感之间没有关联。
