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首页> 外文期刊>International Journal of Pharmaceutics >Where schizophrenic patients commit suicide: a review of suicide among inpatients and former inpatients.
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Where schizophrenic patients commit suicide: a review of suicide among inpatients and former inpatients.

机译：精神分裂症患者自杀的地方：回顾住院患者和前住院患者的自杀情况。

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OBJECTIVE: To review the literature on suicide of inpatients with schizophrenia, to identify suicide risk factors as well as typical patterns of behavior and to suggest a rationale and strategies for future interventions. METHOD: A computerized MedLine, Excerpta Medica and PsycLit search supplemented by an examination of cross-references and reviews. RESULTS: Up to half the suicides among patients with schizophrenia occur during inpatient admission. Inpatient suicides were found among those of a young age group who were predominantly single, childless and socially isolated. The vast majority experienced an illness characterized by long duration and prolonged psychiatric hospitalizations or multiple admissions and discharges. Up to 50% of the suicides occurred in the first few weeks and months following discharge from the hospital. The paranoid subtype of schizophrenia, where positive symptoms prevail and negative symptoms are few, is associated with a suicide risk that is three times greater than that associated with nonparanoid subtypes and eight times greater than the risk associated with the deficit subtype. CONCLUSIONS: Treatment of suicide is a major problem among inpatients with schizophrenia. Evidence suggests that suicide is generally carried-out by patients who have been recently discharged or by those who manage to get away from the hospital. Strategies aimed at preventing this phenomenon have been introduced to the medical personnel, but suicide in these patients does not seem to have been reduced. We emphasize the need to establish guidelines for the prevention of suicide in hospitalized patients with schizophrenia.
机译：目的：回顾有关精神分裂症住院患者自杀的文献，确定自杀危险因素以及典型的行为模式，并为今后的干预措施提供理论依据和策略。方法：计算机化的MedLine，Excerpta Medica和PsycLit搜索，辅以交叉参考和评论的检查。结果：精神分裂症患者中多达一半的自杀发生在住院期间。在年轻的单身，无子女和社会隔离的年轻人中发现住院自杀。绝大多数人患有疾病，病程长，精神病住院时间长，或多次入院和出院。高达50％的自杀发生在出院后的最初几周和几个月内。精神分裂症的偏执狂亚型通常以阳性症状为主，消极症状很少，其自杀风险是非偏执性亚型的三倍，而与缺陷型亚型相关的自杀率是八倍。结论：自杀治疗是精神分裂症住院患者的主要问题。有证据表明，自杀通常是由刚出院的患者或设法离开医院的患者进行的。已经向医务人员介绍了旨在防止这种现象的策略，但是这些患者的自杀似乎并未减少。我们强调有必要建立预防精神分裂症住院患者自杀的指南。

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