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首页> 外文期刊>Indian journal of psychiatry >Suicide in hospitalized early psychosis patients at the time of discharge from hospital: An exploratory study of attempters and nonattempters
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Suicide in hospitalized early psychosis patients at the time of discharge from hospital: An exploratory study of attempters and nonattempters

机译：出院时住院的早期精神病患者的自杀：尝试者和非尝试者的探索性研究

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Background: Early intervention programs for psychosis are gateways for suicide prevention. These programs offer an excellent opportunity for prevention due to easy access, early identification, and provisions for continuity of care. These programs have been found effective in reducing rates of suicide after discharge to communities. The objective of this study was to examine suicide risk level among early psychosis patients admitted with and without previous suicide attempts. We hypothesized that all patients admitted with early psychosis would be at high risk of suicide, regardless of a previous suicide attempt. Methodology: Suicide risk was compared between patients admitted with a suicide attempt (n = 30) and patients admitted without a suicide attempt (n = 30). The primary outcome measure of interest was suicide risk which was measured with the Scale for Impact of Suicidality–Management, Assessment and Planning of Care clinical interview. All patients met DSM-IV TR criteria for schizophrenia. Psychopathology was assessed using the Brief Psychiatric Rating Scale and level of depression was assessed using the Hamilton Depression Rating Scale. The data were statistically analyzed. Results: Patients admitted with a previous attempt (mean = 29.5, standard deviation [SD] =12.0) did not differ significantly in suicide risk from those admitted without a previous attempt (mean = 27.5, SD = 12.5), (t[58] =0.63, P = 0.53). Patients admitted without a suicide attempt scored higher in depressive symptoms (t[58] =10.62, PConclusions: Of those admitted without a previous suicide attempt, our findings suggest that it is critical that all patients discharged from an acute psychiatric unit must receive comprehensive community care. The identification of risk, and subsequent intervention for suicidal and self-harm behaviors, should be a central part of treatment for all mental disorders.
机译：背景：精神病的早期干预计划是预防自杀的门户。这些计划提供了极好的预防机会，因为它易于获得，及早识别并提供连续护理。已发现这些方案可有效减少出院后的自杀率。这项研究的目的是检查接受和未接受过自杀尝试的早期精神病患者的自杀风险水平。我们假设所有接受早期精神病治疗的患者都有自杀的高风险，无论之前是否尝试过自杀。方法：比较了自杀未遂患者（n = 30）和未自杀未遂患者（n = 30）的自杀风险。所关注的主要结局指标是自杀风险，该自杀风险通过自杀倾向影响量表–管理，评估和计划临床访谈进行了衡量。所有患者均符合精神分裂症的DSM-IV TR标准。使用简要精神病学评定量表评估精神病理学，使用汉密尔顿抑郁量表评估抑郁症水平。对数据进行统计分析。结果：先前尝试入院的患者（平均= 29.5，标准差[SD] = 12.0）与未曾尝试入院的患者（平均= 27.5，SD = 12.5）的自杀风险没有显着差异，（t [58] = 0.63，P = 0.53）。未经自杀未遂而入院的患者的抑郁症状得分较高（t [58] = 10.62，PConclusions：在先前未曾自杀未经入院的患者中，我们的发现表明，所有从急性精神病科出院的患者必须接受全面的社区治疗至关重要照料风险的识别以及对自杀和自残行为的随后干预，应该是所有精神障碍治疗的核心部分。

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