Iancu I, Laufer N, Dannon P N, Zohar-Kadouch R, Apter A, Zohar J
Psychiatric Division, Sheba Medical Center, Tel Hashomer, Israel.
Isr J Psychiatry Relat Sci. 1997;34(3):228-34.
Attempted suicide in adolescence is a major health problem and recent reports indicate a dramatic increase in the frequency of attempted and completed suicide among adolescents. The aim of this study was to evaluate the characteristics of adolescent admissions with attempted suicide in a large general hospital. The files of all children and adolescents admitted due to a suicide attempt between the years 1984 and 1994 were examined retrospectively, with regard to age, sex, method of attempt, season, year and length of hospitalization. Four hundred and four admissions with attempted suicide were recorded. The majority (83.7%) were females and drug overdose was the most common (92.8%) method used. Thirty patients (7.5%) repeated the attempt during the study period. No specific time of the year was associated with an increase in adolescent suicide attempt admissions. The most remarkable finding was that younger adolescents had a higher probability of performing a violent suicide attempt. Hypotheses for these trends are examined together with possible ramifications for treatment provision.
青少年自杀未遂是一个重大的健康问题,最近的报告显示青少年自杀未遂和自杀成功的频率急剧上升。本研究的目的是评估一家大型综合医院中因自杀未遂而住院的青少年的特征。对1984年至1994年间因自杀未遂而住院的所有儿童和青少年的档案进行回顾性检查,涉及年龄、性别、自杀方式、季节、年份和住院时间。记录了404例自杀未遂的住院病例。大多数(83.7%)为女性,药物过量是最常用的(92.8%)自杀方式。30名患者(7.5%)在研究期间再次尝试自杀。一年中的任何特定时间与青少年自杀未遂住院人数的增加均无关联。最显著的发现是,年龄较小的青少年进行暴力自杀未遂的可能性更高。对这些趋势的假设进行了研究,并探讨了对治疗提供可能产生的影响。