Suicide Risk Among US Service Members After Psychiatric Hospitalization, 2001-2011
Suicide Risk Among US Service Members After Psychiatric Hospitalization, 2001-2011
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DOI：
10.1176/appi.ps.201200413
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发表时间：
2013-07-01
影响因子：
3.8
通讯作者：
Clark, Leslie L.
中科院分区：
文献类型：
--
作者：
Luxton, David D.;Trofimovich, Lily;Clark, Leslie L.
目标：美国军队自杀率的上升和精神科住院人数的增加凸显了确定服役人员在精神科护理中的风险的必要性，以便实施有针对性的干预措施和预防计划。本研究的目的是确定现役美国军人从精神病院出院后的自杀率。方法：从国防医疗监测系统获取 2001 年至 2011 年间在军事治疗机构接受精神病治疗的 68,947 名患者的数据。对队列组和一般现役美国军人的自杀率进行了比较。生存分析用于确定出院后自杀的时间依赖性模式。结果：68947名军人中共有153人自杀。该队列的总体自杀率为每 10 万人年 71.6 人，而一般现役美国军人的自杀率为每 10 万人年 14.2 人。因此，从精神病院出院的人员死于自杀的可能性高出五倍。精神病院住院后 30 天内死于自杀的风险比住院一年多后的风险高出 8.2 倍。结论：从精神病院出院的现役美国军人是自杀风险较高的群体。建议在住院期间和住院后采取积极的安全计划和有针对性的干预措施。
Objective: The rising rate of suicide and the increase in psychiatric hospitalizations in the U. S. military underscore the need to determine risk among service members in psychiatric care so that targeted interventions and prevention programs are implemented. The purpose of this study was to determine the suicide rates of active-duty U. S. service members after discharge from a psychiatric hospitalization. Methods: Data from 68,947 patients who had psychiatric hospitalizations at military treatment facilities between 2001 and 2011 were obtained from the Defense Medical Surveillance System. Rates of suicide were compared between the cohort group and the general active-duty U. S. military population. Survival analysis was used to determine time-dependent patterns of suicide after hospital discharge. Results: A total of 153 suicides occurred among the 68,947 service members. The overall suicide rate in the cohort was 71.6 per 100,000 person-years, compared with the rate of 14.2 per 100,000 person-years in the general active-duty U. S. military population. Personnel released from a psychiatric hospitalization were therefore five times more likely to die from suicide. The risk of dying from suicide within the first 30 days after a psychiatric hospitalization was 8.2 times higher than the risk at more than one year after hospitalization. Conclusions: Active-duty U. S. service members who are released from a psychiatric hospitalization are a group at high risk of suicide. Aggressive safety planning and targeted interventions during and after hospitalization are recommended.