约翰内斯堡总医院的非致命自杀行为:原文

Y. Moosa, Y. Jeenah, A. Pillay, M. Vorster, R. Liebenberg
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引用次数: 14

摘要

目的:非致命性自杀行为(NFSB)严重影响一个国家的卫生服务和资源,应加以预防。本对照研究的目的是描述一组NFSB患者,并引出与非自杀对照组相比,如果有的话,与这种行为相关的因素。方法:对在约翰内斯堡医院急诊室就诊的NFSB患者进行1 /Ig访谈。这些信息是通过问卷收集的,包括:患者人口统计、精神病史和医学病史、家族史、习惯和社会适应。结果:研究样本包括43例NFSB患者(平均年龄= 29.7岁)和45例非自杀未遂者(平均年龄= 30.9岁)的对照组。其中女性26例(60.5%),对照组33例(73.3%)。10例(23.3%)患者在过去12个月内接受过NFSB治疗。与对照组相比,有精神病史或身体虐待或性虐待史的患者更有可能表现出NFSB (p < 0.05)。结论:与一般人群相比,有故意自残威胁和有NFSB病史、既往精神疾病和身体或性虐待史的患者发生这种行为的风险更高。如果怀疑个人有NFSB的意图,那么应该评估这些风险因素,并制定适当的预防措施。
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Non-fatal suicidal behaviour at the Johannesburg General Hospital : original article
lIgObjective:l/Ig Non-fatal suicidal behaviour (NFSB) severely impacts on the health services and the resources of a country and should be prevented. The aim of this control study was to describe a group of patients with NFSB and to elicit, if any, the factors associated with this behaviour compared to a non-suicidal control group. lbrglIgMethod:l/Ig Interviews were conducted on patients with NFSB treated in the Johannesburg Hospital medical emergency rooms. The information was gathered by way of a questionnaire and included: patient demographics, past history of psychiatric and medical illness, family history, habits and social adjustment. lbrglIgResults:l/Ig The study sample comprised forty-three patients with NFSB (mean age = 29.7 years) and control group of forty-five non-suicide attempters (mean age = 30.9 years). 26 (60.5%) of the patients and 33 (73.3%) of the controls were females. 10 (23.3%) of the patients had been treated for NFSB within the preceding 12 months. Patients with a past history of a psychiatric illness or of physical or sexual abuse were significantly more likely to exhibit NFSB compared to the control group (p < 0.05). lbrglIgConclusions:l/Ig Patients who threaten deliberate self-harm and who have a history of previous NFSB, past psychiatric illness and physical or sexual abuse, are at a higher risk of this behaviour as compared to the general population. If NFSB intentions are suspected in or voiced by an individual, then these risk factors should be assessed and appropriate preventative measures instituted.
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