中国健康心理学杂志
中國健康心理學雜誌
중국건강심이학잡지
HEALTH PSYCHOLOGY JOURNAL
2015年
8期
1146-1148,1149
,共4页
住院精神病患者%自杀%意外事件%回顾分析
住院精神病患者%自殺%意外事件%迴顧分析
주원정신병환자%자살%의외사건%회고분석
Hospitalized psychotics%Suicide%Incident%Retrospectively analysis
目的:了解住院精神病患者自杀行为的临床特征。方法:对2002年1月1日-2006年12月31日在我院住院治疗期间发生自杀行为的患者,以查阅病历、访谈和实地考察自杀环境获取资料进行回顾性分析。结果:共收集到住院期间发生自杀行为患者3l人。男性16人,女性15人,年龄24~68岁,平均年龄45岁。住院时间<1个月者13人(41.9%),1~3个月者4人(12.9%),>3个月者14人(45.2%)。诊断精神分裂症者最多(64.5%),其次为情感障碍(13.0%)。自杀方式以上吊最多(41.9%),其次是吞服异物(25.8%)。自杀地点以普通病室及洗手间最多见。自杀发生在0am~8am时间段12人(38.7%),8am~4pm时间段11人(35.5%),4pm~12pm时间段8人(25.8%)。休息日发生自杀多于工作日发生自杀(χ2=13.520,P=0.000),差异有统计学意义。自杀死亡1人(3.2%)。年均自杀行为发生率为24.98‰。结论:发生自杀的住院精神病患者罹患精神分裂症及情感障碍最常见,新住院及长期住院患者为高危人群。自杀方式以上吊最多见。自杀地点以普通病室及洗手间最多见。休息日发生自杀的比例较高。
目的:瞭解住院精神病患者自殺行為的臨床特徵。方法:對2002年1月1日-2006年12月31日在我院住院治療期間髮生自殺行為的患者,以查閱病歷、訪談和實地攷察自殺環境穫取資料進行迴顧性分析。結果:共收集到住院期間髮生自殺行為患者3l人。男性16人,女性15人,年齡24~68歲,平均年齡45歲。住院時間<1箇月者13人(41.9%),1~3箇月者4人(12.9%),>3箇月者14人(45.2%)。診斷精神分裂癥者最多(64.5%),其次為情感障礙(13.0%)。自殺方式以上弔最多(41.9%),其次是吞服異物(25.8%)。自殺地點以普通病室及洗手間最多見。自殺髮生在0am~8am時間段12人(38.7%),8am~4pm時間段11人(35.5%),4pm~12pm時間段8人(25.8%)。休息日髮生自殺多于工作日髮生自殺(χ2=13.520,P=0.000),差異有統計學意義。自殺死亡1人(3.2%)。年均自殺行為髮生率為24.98‰。結論:髮生自殺的住院精神病患者罹患精神分裂癥及情感障礙最常見,新住院及長期住院患者為高危人群。自殺方式以上弔最多見。自殺地點以普通病室及洗手間最多見。休息日髮生自殺的比例較高。
목적:료해주원정신병환자자살행위적림상특정。방법:대2002년1월1일-2006년12월31일재아원주원치료기간발생자살행위적환자,이사열병력、방담화실지고찰자살배경획취자료진행회고성분석。결과:공수집도주원기간발생자살행위환자3l인。남성16인,녀성15인,년령24~68세,평균년령45세。주원시간<1개월자13인(41.9%),1~3개월자4인(12.9%),>3개월자14인(45.2%)。진단정신분렬증자최다(64.5%),기차위정감장애(13.0%)。자살방식이상조최다(41.9%),기차시탄복이물(25.8%)。자살지점이보통병실급세수간최다견。자살발생재0am~8am시간단12인(38.7%),8am~4pm시간단11인(35.5%),4pm~12pm시간단8인(25.8%)。휴식일발생자살다우공작일발생자살(χ2=13.520,P=0.000),차이유통계학의의。자살사망1인(3.2%)。년균자살행위발생솔위24.98‰。결론:발생자살적주원정신병환자리환정신분렬증급정감장애최상견,신주원급장기주원환자위고위인군。자살방식이상조최다견。자살지점이보통병실급세수간최다견。휴식일발생자살적비례교고。
Objective:To study the clinical characteristics of suicide in hospitalized psychiatric pa-tients.Methods:All suicide incidents recorded from January 1,2002 to December 31,2006 were retro-spectively analyzed by looking up the illness record,interview,and investigating the suicide environment. Results:We had collected 31 hospitalized psychotics who had suicide behavior,among them,male was 16 and female was 15.The average age was 45 years old,the youngest was 24 and the oldest was 68.Diagno-sis of schizophrenia was the most(64.5%),followed by affective disorders(13.0 %).Hospital stays less than one month was thirteen persons(41.9%),more than three months was fourteen persons(45.2%), and between them was four persons(12.9%) .Most suicide happened at the ward restrooms and the toi-let.The most common methods of suicide was hanging(41.9%)and eating foreign body(25.8%).Sui-cide taken place between 0am~8am was 12(38.7%),8am-4pm was 11(35.5%)and 4pm-12pm was 8(25.8%).They tried to kill themselves more often at day off than weekdays(χ2 =13.520,P=0.000). In all 31 cases only one person dead.Inpatient suicide rate was 24.98‰.Conclusion:Patients suffering from both schizophrenia and depressed mood appeared to be at particular risk.The first few days of admis-sion and three months later should be recognized as the period of highest risk.The most common method of suicide behavior of hospitalized psychiatric patients is hanging.This study demonstrates a high suicide rate of psychiatric inpatient(24.98‰)in the hospital in China.