Characteristics of suicide completers with a psychiatric diagnosis before death: A postmortem study of 98 cases
Characteristics of suicide completers with a psychiatric diagnosis before death: A postmortem study of 98 cases
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DOI：
10.1016/j.psychres.2014.07.025
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发表时间：
2014-12-15
影响因子：
11.3
通讯作者：
Shohat, Tamar
中科院分区：
文献类型：
--
作者：
Bakst, Shelly;Braun, Tali;Shohat, Tamar
这项研究的目的是对2007年至2010年期间以色列特拉维夫98名自杀受害者的死亡进行分类。这是通过使用逻辑回归模型检查有既往精神病住院史的自杀完成者的背景特征和临床特征来完成的。34%的样本（33/98）在出院时至少有一次精神病诊断。在他们的一生中，与那些没有精神病诊断的人相比，那些有精神病诊断的人更有可能有精神健康治疗（心理治疗和精神药物治疗），精神病理学和家庭成员自杀倾向，先前的自杀企图和家庭或情感危机的历史。在他们生命的最后阶段，与那些没有精神病史的人相比，那些有精神病史的人也更有可能接受精神治疗，表达了缺乏生活欲望和情感症状（例如抑郁，焦虑，适应困难和紧张）。因此，重点关注高风险人群，如精神疾病患者，并解释精神健康治疗的作用，家庭倾向，先前的自杀企图和与自杀有关的亚临床症状，可以为未来的预防措施提供信息。(c)2014爱思唯尔爱尔兰有限公司版权所有。
The objective of this research was to classify the deaths of 98 victims of suicide in Tel Aviv, Israel between the years 2007 and 2010. This was done by examining background features and clinical characteristics among suicide completers with histories of a prior psychiatric hospitalization using logistic regression modeling. 34% of the sample (33/98) was given at least one psychiatric diagnosis upon discharge from a prior psychiatric hospitalization. Throughout their lifetime, those with psychiatric diagnoses were significantly more likely to have histories of mental health treatment (psychotherapy and psychotropic medication), psychopathology and suicidality among family members, prior suicide attempts and familial or emotional crisis as compared with those without a psychiatric diagnosis. During their last life phase, those with prior psychiatric diagnoses were also significantly more likely to have received psychotherapeutic treatment, expressed a lack of desire to live and presented with affective symptoms (e.g. depression, anxiety, adaptation difficulty and nervousness) as compared with those without such histories. Thus, focusing on high risk populations, such as those with psychiatric illnesses and deciphering the role of mental health treatment, familial predisposition, prior suicide attempt and sub-clinical symptoms in relation to suicide can inform future prevention practices. (c) 2014 Elsevier Ireland Ltd. All rights reserved.