Hartkopp A, Brønnum-Hansen H, Seidenschnur A M, Biering-Sørensen F
Center for Spinal Cord Injured, Rigshospitalet, Copenhagen University Hospital, Denmark.
Arch Phys Med Rehabil. 1998 Nov;79(11):1356-61. doi: 10.1016/s0003-9993(98)90227-1.
To determine the relation between functional status and risk of suicide among individuals with spinal cord injury (SCI).
A follow-up study of all individuals who survived a traumatic SCI during the period from 1953 through 1990.
An SCI center in eastern Denmark.
A total of 888 individuals with SCI, including 236 who died, 23 of whom committed suicide.
Standardized Mortality Ratios (SMRs) of suicides among individuals with SCI.
A 100% follow-up was established January 1, 1993. The total suicide rate among individuals with SCI was nearly five times higher than expected in the general population and lower for men than for women. The suicide rate doubled from an early inclusion period (1953-1971) to a later period (1972-1990). An unexpected finding was that the suicide rate in the group of marginally disabled persons was nearly twice as high as the group of functionally complete tetraplegic individuals.
Given the high frequency of suicide, there is a need for increased awareness by rehabilitation staff and general practitioners regarding depression and psychological adjustment difficulties. Such conditions should be given special attention during rehabilitation and follow-up, especially among women with SCI and the marginally disabled.
确定脊髓损伤（SCI）患者的功能状态与自杀风险之间的关系。
对1953年至1990年期间经历创伤性脊髓损伤且存活的所有个体进行随访研究。
丹麦东部的一个脊髓损伤中心。
总共888例脊髓损伤患者，其中236例死亡，23例自杀。
脊髓损伤患者的自杀标准化死亡比（SMR）。
1993年1月建立了100%的随访。脊髓损伤患者的总自杀率几乎是普通人群预期自杀率的五倍，男性自杀率低于女性。从早期纳入期（1953 - 1971年）到后期（1972 - 1990年），自杀率翻了一番。一个意外发现是，轻度残疾组的自杀率几乎是功能完全性四肢瘫痪组的两倍。
鉴于自杀发生率较高，康复工作人员和全科医生需要提高对抑郁症和心理适应困难的认识。在康复和随访期间，应特别关注这些情况，尤其是脊髓损伤女性患者和轻度残疾患者。
