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首页> 外文期刊>International Journal of Environmental Research and Public Health >Risk Estimates and Risk Factors Related to Psychiatric Inpatient Suicide—An Overview
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Risk Estimates and Risk Factors Related to Psychiatric Inpatient Suicide—An Overview

机译：精神科住院患者自杀的风险估计和风险因素概述

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摘要

People with mental illness have an increased risk of suicide. The aim of this paper is to provide an overview of suicide risk estimates among psychiatric inpatients based on the body of evidence found in scientific peer-reviewed literature; primarily focusing on the relative risks, rates, time trends, and socio-demographic and clinical risk factors of suicide in psychiatric inpatients. Psychiatric inpatients have a very high risk of suicide relative to the background population, but it remains challenging for clinicians to identify those patients that are most likely to die from suicide during admission. Most studies are based on low power, thus compromising quality and generalisability. The few studies with sufficient statistical power mainly identified non-modifiable risk predictors such as male gender, diagnosis, or recent deliberate self-harm. Also, the predictive value of these predictors is low. It would be of great benefit if future studies would be based on large samples while focusing on modifiable predictors over the course of an admission, such as hopelessness, depressive symptoms, and family/social situations. This would improve our chances of developing better risk assessment tools.
机译：患有精神疾病的人自杀的风险增加。本文的目的是根据科学同行评审文献中发现的大量证据，对精神病住院患者的自杀风险估计进行概述。主要关注精神病患者自杀的相对风险，发生率，时间趋势以及社会人口统计学和临床​​危险因素。相对于背景人群，精神科住院患者自杀的风险非常高，但是临床医生要确定那些最有可能在入院期间自杀死亡的患者仍然具有挑战性。大多数研究都是基于低功耗，因此会降低质量和通用性。少数具有足够统计能力的研究主要确定不可改变的风险预测因子，例如男性，诊断或近期故意的自我伤害。而且，这些预测变量的预测值较低。如果将来的研究将以大量样本为基础，同时关注入院过程中可更改的预测因素，如绝望，抑郁症状和家庭/社会状况，那将是非常有益的。这将增加我们开发更好的风险评估工具的机会。

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