Verwey B, Koopmans G T, Opmeer B C, Zitman F G, Huyse F J
Ziekenhuis Rijnstate, afd. Psychiatrie, Arnhem.
Ned Tijdschr Geneeskd. 1997 Jul 5;141(27):1338-42.
To gain insight into the guidelines established for the care of failed suicides in general hospitals, and into the degree to which these guidelines are observed in practice.
Descriptive, retrospective.
Department of Psychiatry, Rijnstate Hospital, Arnhem, the Netherlands.
An inventory of guidelines for the care of failed suicides was made by interviewing seven psychiatrists on the staff of general hospitals. The inventory was limited to access (interval between admission and referral/consultation), and the coordination of the care (i.e. adjustment to the patient's condition, transfer of information). Subsequently, the cases of all failed suicides admitted to these hospitals in 1991 were studied to find out how these guidelines were observed in practice; use was made for this purpose of data from a more extensive European study.
All seven hospitals proved to have rules for coping with tailed suicides. Guidelines concerning accessibility of care were fairly similar in the various hospitals; regarding the coordination of care, more local variants were found to exist. The accessibility of care was found to be mostly in accordance with the guidelines. There were more deviations from the guidelines where the coordination of care was concerned; in addition, there were substantial differences between the hospitals in the degrees to which deviation from the guidelines occurred.
Guidelines for the care of failed suicides admitted to general hospitals were not in all respects similar; the observance differed markedly, especially regarding the coordination of care.
深入了解综合医院为救治自杀未遂患者所制定的指南，以及这些指南在实际中的遵循程度。
描述性、回顾性研究。
荷兰阿纳姆市莱茵斯泰特医院精神科。
通过采访综合医院的七名精神科医生，整理出救治自杀未遂患者的指南清单。该清单仅限于就诊机会（入院与转诊/会诊之间的间隔时间）以及护理协调（即根据患者情况进行调整、信息传递）。随后，对1991年这些医院收治的所有自杀未遂病例进行研究，以了解这些指南在实际中是如何得到遵循的；为此利用了一项更广泛的欧洲研究的数据。
所有七家医院都有应对自杀未遂的规定。各医院关于就诊机会的指南相当相似；在护理协调方面，则发现存在更多地方差异。就诊机会大多符合指南规定。在护理协调方面，与指南的偏差较多；此外，各医院在偏离指南的程度上存在很大差异。
综合医院救治自杀未遂患者的指南在各方面并不都相似；遵循情况差异显著，尤其是在护理协调方面。
