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首页> 外文期刊>International Journal of Environmental Research and Public Health >Clinical Prediction of Suicide and Undetermined Death: A Pseudo-Prospective Clinical and Medico-Legal Study of Substance Abusers
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Clinical Prediction of Suicide and Undetermined Death: A Pseudo-Prospective Clinical and Medico-Legal Study of Substance Abusers

机译：自杀和不确定死亡的临床预测：药物滥用者的假性前瞻性临床和医学法律研究

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摘要

This study examines aspects of prediction of suicide and death of undetermined intent. We investigated all consecutive, autopsied patients between 1993 and 1997 who had been in contact with the Addiction Centre in Malm? from 1968 onwards. The staff was asked, shortly after autopsy but before they knew of the manner of death, if they thought the patient had committed suicide. The case records were blindly evaluated, and toxicological autopsy findings for alcohol in blood samples investigated. The specificity of prediction was 83% and significantly more often correct than the sensitivity, which was only 45% for suicide and for suicide/death of undetermined intent (93% versus 39%). Suicidal communication was more often considered non-serious before death of undetermined intent than before suicide. The former could be predicted by ideation but not by suicide attempt reported in case records, unlike suicide, which was predicted by both. The undetermined group also showed higher levels of alcohol in the blood at autopsy. We concluded that more serious clinical investigation of suicidal feelings, which may be hidden and not taken seriously, and treatment of alcohol use disorders with active follow-up appear urgent in the efforts to prevent suicide.
机译：这项研究检查了自杀预测和意图未定死亡的各个方面。我们调查了1993年至1997年期间与马尔姆成瘾中心有联系的所有连续尸检患者。从1968年开始。在进行尸检后不久，但在他们知道死亡方式之前，工作人员被问及是否以为患者自杀。盲目评估病例记录，并调查血液样本中酒精的毒理学尸检结果。预测的特异性为83％，明显比敏感性更正确，敏感性对于自杀和自杀/未定意图的死亡仅占45％（93％对39％）。自杀性交流在自杀前没有被确定，通常被认为是不认真的。前者可以通过想法来预测，但不能通过案例记录中报告的自杀企图来预测，这与两者都预测的自杀不同。未定组在尸检时也显示血液中酒精含量较高。我们得出的结论是，对自杀感觉的更严肃的临床研究可能是隐藏的，而不是认真对待的，积极预防措施对酒精使用障碍的治疗在预防自杀方面显得尤为迫切。

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