Demographic, clinical and psychological characteristics of patients with self-harm behaviours attending an emergency department of a tertiary care hospital
Demographic, clinical and psychological characteristics of patients with self-harm behaviours attending an emergency department of a tertiary care hospital
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DOI：
10.1016/j.ajp.2016.01.006
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发表时间：
2016-04-01
影响因子：
9.5
通讯作者：
Avasthi, Ajit
中科院分区：
文献类型：
--
作者：
Grover, Sandeep;Sarkar, Siddharth;Avasthi, Ajit
了解那些有自残行为的人的特征可能有助于识别那些有风险的人，并为这类患者提供有针对性的干预措施，特别是在紧急服务中。本研究的目的是比较自杀意图、绝望、抑郁症状的严重程度，以及那些有和没有精神疾病的人的人格特征，在紧急情况下表现出自残行为。为此，在三级护理医院急诊科就诊的有自残行为的患者，通过使用结构化工具评估是否有精神病诊断、自杀意图、人格特征、抑郁症状和绝望。本研究包括132名参与者。样本平均年龄28.7岁，男女比例为1.28:1。41.7%的样本中至少有一种精神病学诊断，其中抑郁症和物质使用障碍最为常见。40.2%的样本存在冲动性自杀企图。与那些没有精神疾病的人相比，那些被诊断患有精神疾病的人更有可能是老年人、男性、已婚、有更高的自杀意图、更多有计划的尝试和更高的抑郁症状。冲动自杀未遂者的自杀意图低于非冲动自杀未遂者。目前的研究表明，那些出现自我伤害行为的紧急情况包括两个相互关联的群体，在某些人口特征、抑郁症状的严重程度、自杀意图和冲动性上有所不同。(C) 2016 Elsevier B.V.版权所有
Understanding the characteristics of those with self-harm behaviour may help in identifying those at risk and providing targeted interventions to this group of patients, especially in the emergency services. The present study aimed to compare the suicidal intent, hopelessness, severity of depressive symptoms, and personality traits of those with and without psychiatric disorders, presenting with a self-harming behaviour to the emergency setting. For this, patients presenting to the emergency department of a tertiary care hospital with self-harm behaviour were evaluated for presence or absence of a psychiatric diagnosis, suicidal intent, personality traits, depressive symptoms and hopelessness by using structured instruments. The present study included 132 participants. The mean age of the sample was 28.7 years and the male: female ratio of 1.28:1. At least one psychiatric diagnosis was present in 41.7% of the sample, depression and substance use disorders being most common among them. Impulsive suicide attempt was present in 40.2% of the sample. Those with a psychiatric diagnosis were more likely to be older, males, married, have higher suicidal intent, more planned attempts and higher depressive symptoms as compared to those who did not have a psychiatric disorder. Impulsive suicide attempters had lower suicidal intent than non-impulsive attempters. Present study suggests that those presenting to the emergency with self-harm behaviour comprises 2 interrelated groups, differing on certain demographic features, severity of depressive symptoms, suicidal intent and impulsivity. (C) 2016 Elsevier B.V. All rights reserved.