Suicide among psychiatric in-patients in a changing clinical scene - Suicidal ideation as a paramount index of short-term risk
Suicide among psychiatric in-patients in a changing clinical scene - Suicidal ideation as a paramount index of short-term risk
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DOI：
10.1192/bjp.171.6.561
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发表时间：
1997-12-01
影响因子：
10.5
通讯作者：
Stanton, R
中科院分区：
文献类型：
--
作者：
Morgan, HG;Stanton, R
背景：临床实践方式的快速变化意味着我们应该密切关注住院和社区精神病人自杀的发生方式。方法将住院期间或出院后2个月内自杀死亡的患者与10年前报道的类似病例进行比较。临床医生对患者行为的看法与同期对照进行比较。结果在最近的研究中，患者更年轻，更多的是男性，出院的比例更大。使风险评估复杂化的风险包括短期的误导性临床改善、痛苦程度的可变性以及不愿讨论。自杀的念头。在一系列可感知的行为中，不可能区分自杀和对照。结论在评估自杀风险时，最重要的应该是监测自杀意念，并解决可能使这一过程复杂化的几个危险。
Background Rapid changes in styles of clinical practice mean that we should carefully monitor the way suicides occur among psychiatric patients both in hospital and in the wider community.Method Patients who had died through suicide either while receiving in-patient care or within 2 months of discharge from hospital were compared with a similar series reported 10 years previously. Clinicians' perceptions of patients' behaviour were compared with concurrent controls.Results Patients in the more recent study were younger, more often male, and a greater proportion had been discharged from in-patient status. Hazards which complicated risk assessment included short-lasting misleading clinical improvements, variability in degree of distress, and a reluctance to discuss. suicidal ideas. Over a range of perceived behaviours it was not possible to distinguish suicides from controls.Conclusions In assessing suicide risk paramount importance should be attached to monitoring suicidal ideation and addressing the several hazards which might complicate this procedure.