Long-term risk factors for suicide mortality after attempted suicide -: findings of a 14-year follow-up study
Long-term risk factors for suicide mortality after attempted suicide -: findings of a 14-year follow-up study
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DOI：
10.1034/j.1600-0447.2001.00243.x
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发表时间：
2001-08-01
影响因子：
6.7
通讯作者：
Lönnqvist, J
中科院分区：
文献类型：
--
作者：
Suokas, J;Suominen, K;Lönnqvist, J
目的：通过14年的随访确定自杀风险，并通过生存分析探讨自杀的长期危险因素。方法：收集1983年在赫尔辛基大学中心医院急诊科收治的1018例故意自我中毒患者的资料。结果：14年随访期结束时，222例（21.7%）患者死亡。68人（6.7%）曾自杀：男性44人（9.2%），女性24人（4.5%）。自杀的长期风险因素是男性性别、以前的精神治疗、以前的自杀企图、躯体疾病和自我报告的“想死”动机。结论：自杀的主要危险因素是男性和有过自杀企图。此外，早期精神治疗史、躯体疾病的存在以及在指数自杀企图中真正的死亡意图表明，长期风险在十多年内一直很高。研究结果强调了在综合医院急诊室对自杀未遂者进行长期规划和治疗的必要性。
Objective: To determine the risk of suicide over a 14-year follow-up period, and to investigate the long-term risk factors fur 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.