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首页> 外文期刊>Nordic journal of psychiatry. >Suicides during 7 years among a catchment area cohort of patients with psychoses
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Suicides during 7 years among a catchment area cohort of patients with psychoses

机译：精神病患者集水区队列中7年的自杀

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摘要

Objective: To investigate a series of consecutive suicides at a psychosis clinic by using a psychological autopsy technique. Method: The clinic serves an adult population of 225,000 individuals, of whom 0.5% have regular contact with the clinic. During a 7-year period, 23 men and nine women committed suicide, which corresponds to an odds ratio of 14. Results: Most patients were schizophrenic, and 24 were outpatients. Suicide methods were violent in all but two cases. Nineteen had a history of at least one suicide attempt, and 24 were known to have had suicidal ideation. More than half had no social contacts over the last year except with psychiatric staff. The median time between the last contact with the psychiatric services and the suicide was 4 days. No warning signs were noted. At the time of death, 3 of the 24 who were prescribed antipsychotics, and none of the 10 who were prescribed antidepressants had plasma levels of the corresponding drug. Conclusion: Findings of special interest are the lack of forewarnings and the poor drug compliance. Patients appear to have played "business as usual"with the care-givers, and did it well. Is it a sign of health and despair, or illness?
机译：目的：使用心理尸检技术调查精神病诊所中的一系列连续自杀事件。方法：诊所为225,000名成年人提供服务，其中0.5％定期与诊所联系。在7年的时间里，有23名男性和9名女性自杀，比值比是14。结果：大多数患者为精神分裂症，而门诊患者为24。除两起案件外，其余所有案件均采用自杀方式。有19名至少有一次自杀未遂史，已知24名曾有自杀意向。在过去的一年中，超过一半的人与精神病医生没有任何社交联系。上一次与精神科服务机构接触到自杀之间的中位时间为4天。没有发现警告标志。在死亡时，服用抗精神病药的24位患者中有3位，服用抗抑郁药的10位患者中都没有相应药物的血浆水平。结论：特别令人关注的发现是缺乏预警和不良的药物依从性。病人似乎与看护人“照常营业”，并且做得很好。这是健康，绝望还是疾病的征兆？

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