Risk factors of future suicide in suicide attempters -: A comparison between suicides and matched survivors
Risk factors of future suicide in suicide attempters -: A comparison between suicides and matched survivors
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DOI：
10.1080/08039480600583597
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发表时间：
2006-03-01
影响因子：
1.8
通讯作者：
Traskman-Bendz, Lil
中科院分区：
文献类型：
--
作者：
Holmstrand, Cecilia;Nimeus, Anders;Traskman-Bendz, Lil
本研究的目的是根据性别、年龄和主要诊断，寻找 15 名住院的自杀未遂者（后来自杀的“完成者”）和 15 名未自杀的自杀者（“非完成者”）之间的临床和护理/治疗消耗差异，从而找到自杀的危险因素。完成者在指数入院后尝试自杀的频率明显更高。索引后，完成者比未完成者接受了更多的精神护理和治疗。两组患者的合并症都很常见。然而，根据 DSM III-R，轴 II，B 类的人格障碍在完成者群体中往往更为常见。随着时间的推移，完成者的合并症也在更大程度上增加。尽管主要诊断相匹配，但完成者往往比未完成者具有更高的蒙哥马利埃抑郁评定量表评分。他们的自杀评估量表（SUAS）得分也明显更高。从这项研究中可以看出，未来有自杀风险的自杀企图者患有严重且多种的精神问题，这给护理和治疗带来了困难。
The objective of this study was to find risk factors for suicide by looking for clinical and care/treatment consumption differences between 15 hospitalized suicide attempters, who later committed suicide ("completers''), and 15 suicide attempters who did not ("non-completers''), matched according to sex, age and principal diagnosis. Completers had significantly more often attempted suicide after the index admission. After index, completers had received more psychiatric care and treatment than non-completers. Comorbidity was common in both groups of patients. Personality disorders according to the DSM III-R, axis II, Cluster B, however, tended to be more common in the completer group. Increased comorbidity over time could also be seen to a larger extent in completers. In spite of the matching of principal diagnosis, completers tended to have higher Montgomery -angstrom sberg Depression Rating Scale ratings than non-completers. They also had significantly higher Suicide Assessment Scale (SUAS) scores. From this study, it is apparent that suicide attempters at risk of future suicide have major and multiple psychiatric problems, which cause difficulties in the care and treatment.