The wessex recent in-patient suicide study, I - Case-control study of 234 recently discharged psychiatric patient suicides
The wessex recent in-patient suicide study, I - Case-control study of 234 recently discharged psychiatric patient suicides
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DOI：
10.1192/bjp.178.6.531
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发表时间：
2001-06-01
影响因子：
10.5
通讯作者：
Thompson, C
中科院分区：
文献类型：
--
作者：
King, EA;Baldwin, DS;Thompson, C
背景 精神病患者出院后自杀风险较高。目的 确定近期出院患者的社会、临床和医疗保健提供因素。方法 对 234 名出院一年内死亡的患者进行回顾性病例对照研究，将年龄、性别、诊断和入院时间与 431 名对照进行匹配。使用条件多元逻辑回归计算已识别风险因素的比值比。结果独立增加风险因素是：不是白人；独居；有故意自残史（DSH）；自杀意念促使入院；绝望;在不同顾问的指导下入学；关系出现困难；失业；住院患者 DSH；非计划排放；重要护理专业人员离职/休假。降低风险的因素有： 合住：入院时出现妄想；滥用非处方药物：以及持续接触。结论 持续接触可能会降低自杀风险。重要专业人士的护理中断与自杀风险增加相关。利益声明 本研究由 NHS 南部和西部研究与发展局资助。
Background Psychiatric patients have a higher suicide risk following hospital discharge.Aims To identify social, clinical and health-care delivery factors in recently discharged patients.Method Retrospective case-control study of 234 patients who died within I year of hospital discharge, matched for age, gender, diagnosis and admission period with 431 controls. Odds ratios for identified risk factors were calculated using conditional multiple logistic regression.Results Independent increased-risk factors were: not being White; living alone; history of deliberate self-harm (DSH); suicidal ideation precipitating admission; hopelessness; admission under different consultant; onset of relationship difficulties; loss of job; in-patient DSH; unplanned discharge; significant care professional leaving/on leave. Reduced-risk factors were: shared accommodation: delusions at admission; misuse of non-prescribed substances: and continuity of contact.Conclusions Continuity of contact may reduce suicide risk. Discontinuity of care from a significant professional is associated with increased risk of suicide.Declaration of interest This study was funded by the NHS South & West Research and Development Directorate.