解放军医院管理杂志
解放軍醫院管理雜誌
해방군의원관리잡지
HOSPITAL ADMINISTRATION JOURNAL OF CHINESE PEOPLE'S LIBERATION ARMY
2014年
5期
488-490
,共3页
住院患者%自杀%分析%对策
住院患者%自殺%分析%對策
주원환자%자살%분석%대책
inpatient%suicide%analysis%countermeasures
目的：分析综合医院住院患者发生自杀事件的特点规律，为防范住院患者自杀提供依据。方法回顾性分析某三甲医院2008年4月至2012年10月发生的19起住院患者自杀事件的特点、自杀的时间、方式等。结果住院患者自杀涉及全院内、外、专、老年病科等12个科室；肿瘤患者7例、占36．8％，肾病终末期患者5例、占26．3％；跳楼16例、占84．2％；自杀时间是午后至夜间，其中晚夜间15例，占78．9％；结论自杀事件可发生在综合医院的任何科室、任何年龄、性别的成人患者中；肿瘤、肾病终末期和抑郁症等精神障碍患者是住院患者自杀的高危人群；晚夜间，特别是凌晨是患者自杀的高危时段；跳楼是医院住院患者自杀采取的主要方式。安全警示：应加强医护人员识别和处置意识和能力；规范管理，关注自杀高危人群的，完善病区环境安全设施。
目的：分析綜閤醫院住院患者髮生自殺事件的特點規律，為防範住院患者自殺提供依據。方法迴顧性分析某三甲醫院2008年4月至2012年10月髮生的19起住院患者自殺事件的特點、自殺的時間、方式等。結果住院患者自殺涉及全院內、外、專、老年病科等12箇科室；腫瘤患者7例、佔36．8％，腎病終末期患者5例、佔26．3％；跳樓16例、佔84．2％；自殺時間是午後至夜間，其中晚夜間15例，佔78．9％；結論自殺事件可髮生在綜閤醫院的任何科室、任何年齡、性彆的成人患者中；腫瘤、腎病終末期和抑鬱癥等精神障礙患者是住院患者自殺的高危人群；晚夜間，特彆是凌晨是患者自殺的高危時段；跳樓是醫院住院患者自殺採取的主要方式。安全警示：應加彊醫護人員識彆和處置意識和能力；規範管理，關註自殺高危人群的，完善病區環境安全設施。
목적：분석종합의원주원환자발생자살사건적특점규률，위방범주원환자자살제공의거。방법회고성분석모삼갑의원2008년4월지2012년10월발생적19기주원환자자살사건적특점、자살적시간、방식등。결과주원환자자살섭급전원내、외、전、노년병과등12개과실；종류환자7례、점36．8％，신병종말기환자5례、점26．3％；도루16례、점84．2％；자살시간시오후지야간，기중만야간15례，점78．9％；결론자살사건가발생재종합의원적임하과실、임하년령、성별적성인환자중；종류、신병종말기화억욱증등정신장애환자시주원환자자살적고위인군；만야간，특별시릉신시환자자살적고위시단；도루시의원주원환자자살채취적주요방식。안전경시：응가강의호인원식별화처치의식화능력；규범관리，관주자살고위인군적，완선병구배경안전설시。
Objective To analyze features of suicides of inpatients in comprehensive hospital , to provide evidence for suicide prevention .Method A retrospective analysis of 19 suicide incidents from April 2008 to Octo-ber 2012 in certain hospital was conducted .The characteristics , time and methods of suicide were analyzed .Re-sults Suicidal inpatients come from 12 departments , including departments of internal medicine , surgery and geri-atrics.There are 7 patients of tumor, accounts for 36.8%.There are 5 patients of nephropathy at terminal stage , accounting for 26 .3%.As for their methods , there are 16 patients jumping to death , accounting for 84 .2%.The time of committing suicides ranges from afternoon to night .There are 15 patients committing suicide at midnight , accounting for 78 .9%.Conclusion Suicides can occur in any adult patients at any age of any sex from any de-partments .Patients of tumor , nephropathy at terminal stage , depression and other mental disorder are at high risk of committing suicide .Evening , especially midnight will be a extremely dangerous time for patients .Jumping to death is the main way for suicide .Precaution strategy:hospitals should improve doctor and nurses'abilities to iden-tify and handle suicide , enforce standardized management , pay attention to patients in high risk of suicide , upgrade safety devices in hospitals .
