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首页> 外文期刊>Journal of nursing and healthcare of chronic illness >Risk of suicide after suicide attempt according to coexisting psychiatric disorder: Swedish cohort study with long term follow-up
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Risk of suicide after suicide attempt according to coexisting psychiatric disorder: Swedish cohort study with long term follow-up

机译：根据并存的精神病患者自杀未遂的自杀风险：长期随访的瑞典队列研究

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Objective To investigate the impact of coexistent psychiatric morbidity on risk of suicide after a suicide attempt. Design Cohort study with follow-up for 21-31 years. Setting Swedish national register based study. Participants 39 685 people (53% women) admitted to hospital for attempted suicide during 1973-82. Main outcome measure Completed suicide during 1973-2003. Results A high proportion of suicides in all diagnostic categories took place within the first year of follow-up (14-64% in men, 14-54% in women); the highest short term risk was associated with bipolar and unipolar disorder (64% in men, 42% in women) and schizophrenia (56% in men, 54% in women). The strongest psychiatric predictors of completed suicide throughout the entire follow-up were schizophrenia (adjusted hazard ratio 4.1, 95% confidence interval 3.5 to 4.8 in men, 3.5, 2.8 to 4.4 in women) and bipolar and unipolar disorder (3.5, 3.0 to 4.2 in men, 2.5, 2.1 to 3.0 in women). Increased risks were also found for other depressive disorder, anxiety disorder, alcohol misuse (women), drug misuse, and personality disorder. The highest population attributable fractions for suicide among people who had previously attempted suicide were found for other depression in women (population attributable fraction 9.3), followed by schizophrenia in men (4.6), and bipolar and unipolar disorder in women and men (4.1 and 4.0, respectively). Conclusion Type of psychiatric disorder coexistent with a suicide attempt substantially influences overall risk and temporality for completed suicide. To reduce this risk, high risk patients need aftercare, especially during the first two years after attempted suicide among patients with schizophrenia or bipolar and unipolar disorder.
机译：目的探讨并存的精神病发病率对自杀未遂者自杀风险的影响。设计队列研究，随访21-31年。设置瑞典国家注册的基础研究。参与者1973-82年期间因自杀未遂而入院的39685人（女性占53％）。主要结果指标1973-2003年完成自杀。结果在随访的第一年内，所有诊断类别的自杀率都很高（男性为14-64％，女性为14-54％）;短期风险最高的是双相和单相障碍（男性64％，女性42％）和精神分裂症（男性56％，女性54％）。在整个随访过程中，完成自杀的最强有力的精神病预测因素是精神分裂症（危险比调整为4.1，男性的95％置信区间为3.5至4.8，女性为3.5、2.8至4.4至4.4）和双相和单相情感障碍（3.5、3.0至4.2男性为2.5，女性为2.1至3.0）。还发现其他抑郁症，焦虑症，滥用酒精（女性），滥用毒品和人格障碍的风险增加。在以前曾尝试自杀的人中，发现自杀的人群中自杀归因分数最高的是妇女的其他抑郁症（人口归因分数为9.3），其次是男性的精神分裂症（4.6），以及男性和女性的双相和单相情感障碍（4.1和4.0）。 ， 分别）。结论与自杀未遂并存的精神病类型严重影响完成自杀的总体风险和时间性。为了降低这种风险，高风险患者需要后期护理，尤其是在精神分裂症或双相和单相情感障碍患者中自杀未遂的头两年。

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