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首页> 外文期刊>Acta Psychiatrica Scandinavica >Long-term risk factors for suicide mortality after attempted suicide--findings of a 14-year follow-up study.
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Long-term risk factors for suicide mortality after attempted suicide--findings of a 14-year follow-up study.

机译：自杀未遂后自杀死亡的长期危险因素-一项为期14年的随访研究的发现。

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OBJECTIVE: To determine the risk of suicide over a 14-year follow-up period, and to investigate the long-term risk factors for suicide using survival analysis. METHOD: Data were collected on all unselected deliberate self-poisoning patients (n=1018) treated during 1983 in the emergency unit of Helsinki University Central Hospital. RESULTS: By the end of the 14 -year follow-up period 222 (21.7%) of these patients had died. Sixty-eight (6.7%) had committed suicide; 44 (9.2%) men and 24 (4.5%) women. The long-term risk factors for suicide were male sex, previous psychiatric treatment, previous suicide attempts, somatic disease and a self-reported 'wish to die' motive for the index suicide attempt. CONCLUSION: The essential risk factors for suicide were being male and having previous suicide attempts. In addition, history of earlier psychiatric treatment, presence of somatic disease and genuine intent to die in the index suicide attempt suggest that the long-term risk has remained high for over a decade. The findings emphasize the need for long-term planning and treatment of suicide attempters met in the emergency room of general hospitals.
机译：目的：确定14年随访期间的自杀风险，并使用生存分析调查自杀的长期危险因素。方法：收集了所有在1983年期间在赫尔辛基大学中心医院急诊室接受治疗的未选故意故意中毒患者（n = 1018）的数据。结果：到14年随访期结束时，这些患者中有222人（21.7％）死亡。六十八（6.7％）人自杀;男性44（9.2％），女性24（4.5％）。自杀的长期危险因素是男性，先前的精神病治疗，先前的自杀未遂，躯体疾病和自我报告的自杀未遂动机“想死”。结论：自杀的主要危险因素是男性和以前曾尝试过自杀。此外，较早的精神病治疗史，躯体疾病的存在以及自杀倾向的真实意图表明，长期危险已持续了十多年。调查结果强调需要对综合医院急诊室遇到的自杀未遂者进行长期计划和治疗。

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