首页> 中文期刊> 《中国社会医学杂志》 >综合医院住院患者自杀的流行病学特征分析

综合医院住院患者自杀的流行病学特征分析

         

摘要

Objectives To explore the features of epidemiological characteristics of patients who committed suicide in a tertiary general hospital and to provide theory proofs for preventing.Methods Based on the suicidal data in net-work system of patients adverse safety events,retrospective method was used,such as,reading the medical records of patients who committed suicide in detail,interviewing matron,nurses and doctors who experienced inpatients suicide.The statistics was described in frequency and percentage.Results Suicidal events took place in the hospital amounts to 37 in total,among which women(23,62.2%)apparently exceeded men(14,37.8%).Most patients were the mid-aged(1 7,46.0%).A total of 18 cases happened within one week after hospitalization,which was com-mon(48.6%).The suicide time was mainly from 2AM to 6AM (1 5,40.5%).The prominent suicidal methods committed were jumping(46.0%).Furthermore,the top type of disease of suicide patients was cancer.Conclusions The general hospital should attach importance to the research,evaluation and prevention of inpatients’suicide and appeal more managers in hospital,clinic doctors,nurses and family members even patients themselves to join in suicide prevention teams,getting the goal of the maximum reduction of suicide rates of inpatients.%目的:探讨武汉某三级甲等综合医院住院患者自杀的流行病学特征,为预防住院患者自杀行为的发生提供理论依据。方法根据某医院患者安全不良事件网络上报系统中2009-2014年的自杀数据,详细查阅自杀患者的病历资料,访谈经历患者自杀的护士、护士长及医生等方法进行回顾性调查分析,运用频数和百分比对数据进行描述性分析。结果住院患者发生自杀事件37例,其中女性23例(62.2%),男性14例(37.8%),女性明显多于男性;中年患者人数最多,共17例(46.0%);自杀时间以住院1周内多见,共18例(48.6%);自杀时段以凌晨2:00-6:00为主,共15例(40.5%);自杀方式以跳楼为主,共17例(占46.0%);自杀患者疾病种类以癌症患者最为多见,共25例(67.6%)。结论综合医院需要加大对住院患者自杀的研究、评估和干预,呼吁更多的医院管理者、临床医生、护士以及家属、甚至患者参与到预防自杀的队伍中来,最大程度地降低住院患者的自杀率,挽救患者生命。

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