...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>The journal of clinical psychiatry >Clinical correlates of inpatient suicide.
【24h】

Clinical correlates of inpatient suicide.

机译：住院自杀的临床相关性。

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

BACKGROUND: Previous suicide assessment research has led to standard predictors of risk. Despite this, there are approximately 30,000 suicides per year in the United States, 5% to 6% of which occur in hospitals. The primary purpose of this study is to improve our ability to assess risk and intervene successfully. METHOD: Charts from 76 patients who committed suicide while in the hospital, or immediately after discharge, were reviewed. The week before suicide was rated for both standard risk predictors and, using items from the Schedule for Affective Disorders and Schizophrenia (SADS), for presence and severity of symptoms found to be correlated with acute risk in recent studies. RESULTS: Regarding standard predictors, only 49% (N = 37) had any prior suicide attempt and 25% (N = 19) were admitted for this reason. Thirty-nine percent (30/76) were admitted for suicidal ideation, but 78% denied suicidal ideation at their last communication about this; 46% (N = 35) showed no evidence of psychosis; of those on precautions (N = 45), 51% (N = 23) were on q 15 minute suicide checks or 1:1 observation; and 28% (N = 21) had a no-suicide contract in effect. On SADS ratings, 79% (N = 60) met criteria for severe or extreme anxiety and/or agitation. CONCLUSION: Standard risk assessments and standard precautions used were of limited value in protecting this group from suicide. Adding severity of anxiety and agitation to our current assessments may help identify patients at acute risk and suggest effective treatment interventions. The importance of a matched comparison group to ascertain if this sample can be blindly discriminated from inpatients who do not commit suicide is clear.
机译：背景：先前的自杀评估研究已导致风险的标准预测因子。尽管如此，美国每年仍约有30,000例自杀，其中5％至6％发生在医院。这项研究的主要目的是提高我们评估风险和成功干预的能力。方法：回顾了76例在医院或出院后自杀的患者的图表。自杀前一周被评定为标准风险预测因素，并使用《情感障碍和精神分裂症一览表》（SADS）中的项目评估了近期研究中与急性风险相关的症状的存在和严重程度。结果：关于标准预测因素，仅49％（N = 37）曾有过自杀未遂事件，因此有25％（N = 19）被接纳自杀。百分之三十九（30/76）的人有自杀意念，但有78％的人在上次有关自杀念头时否认有自杀意念。 46％（N = 35）没有表现出精神病的迹象;在预防措施中（N = 45），有51％（N = 23）在进行15分钟的自杀检查或1：1观察时;而28％（N = 21）的合约中没有自杀。在SADS评分中，有79％（N = 60）符合严重或极端焦虑和/或躁动的标准。结论：所使用的标准风险评估和标准预防措施对于保护该群体免于自杀具有有限的价值。在我们目前的评估中增加焦虑和躁动的严重程度，可能有助于确定有急性风险的患者，并提出有效的治疗干预措施。很明显，有一个相匹配的比较组来确定是否可以盲目区别未自杀患者的重要性。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号