Suicide among the homeless: a 9-year case-series analysis.
Suicide among the homeless: a 9-year case-series analysis.
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DOI：
10.1027/0227-5910.25.2.51
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发表时间：
2004-01-01
期刊：
影响因子：
3
通讯作者：
Aizenberg, Dov
中科院分区：
文献类型：
--
作者：
Barak, Yoram;Cohen, Asnat;Aizenberg, Dov
背景：在无家可归者中，死亡率很高，自杀未遂和自杀未遂的人数也很多。在特拉维夫，以色列，有一个正在进行的市政推广计划为homeless.OBJECTIVE：本研究的目的是描述谁死了自杀的无家可归者的亚组。METHOD：在9年的时间内，每个无家可归的人谁死了的记录进行了评估，由两名精神科医生和临床犯罪学家。该项目是在一个大城市进行的，是可行的，由于市福利部门和心理健康consulters.Results之间的密切合作：1,192无家可归者的位置和接触，156人死亡（13.1%）。其中9人死于自杀（5.8%）。全部为男性。自杀亚组的平均年龄为34 +/- 8.7岁，明显小于死于其他原因的人（p <0.01）。大多数人完成了高中教育。虽然大多数死亡与毒品或酒精有关，但9例自杀死亡中只有1例有吸毒史。9人中有4人有精神共病。绝大多数人（6/9）死于上吊自杀。结论：自杀是无家可归人群中不可忽视的死因。
BACKGROUND: Among the homeless there are high rates of mortality and a significant number of attempted and completed suicides. In Tel-Aviv, Israel, there is an ongoing municipal outreach program for the homeless.OBJECTIVE: The aim of the present study was to describe the subgroup of homeless persons who had died by suicide.METHOD: Over a 9-year period the records of each homeless person who had died were assessed by two psychiatrists and a clinical criminologist. The project was undertaken in a large city and was feasible due to close cooperation between the municipal welfare department and mental health consultants.RESULTS: Of the 1,192 homeless persons located and contacted, 156 persons had died (13.1%). Nine of the deaths were by completed suicide (5.8%). All were male. Mean age for the suicide subgroup was 34 +/- 8.7 years, significantly younger than those who died of other causes (p < .01). The majority had completed high school education. While the majority of deaths were drug or alcohol related, in only 1 of 9 deaths by suicide was there a history of drug abuse. Psychiatric comorbidity was recorded in 4 of the 9 persons. The majority of persons (6/9) had died of suicide by hanging.CONCLUSION: Suicide is not a negligible cause of death among the homeless population.