爱尔兰精神病院住院病人自杀的预测因素,一项纵向病例对照研究。

IF 2.7 3区 医学 Q2 PSYCHIATRY Suicide and Life-Threatening Behavior Pub Date : 2024-08-01 Epub Date: 2024-03-22 DOI:10.1111/sltb.13073
Yvonne Hartnett, Thekiso B Thekiso, Paulina Kowalska-Beda, Tom Maher, Declan M McLoughlin, Noel Kennedy
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引用次数: 0

摘要

目的:住院病人自杀仍然难以预测。本研究旨在确定患者的个体预测因素,以帮助识别风险较大的患者:这项病例对照研究在爱尔兰一家独立的精神健康服务机构进行。病例来自 2004 年 3 月至 2019 年 2 月期间该服务机构的所有入院患者。对照组与入院日期相匹配。研究进行了单变量和多变量分析:将 33 例住院病人自杀病例与 132 例对照病例进行了比较。住院病人自杀率为每 10 万例住院病人中有 76.2 例。住院病人自杀率与全国住院病人自杀率持平,尽管医院采取了较少的限制措施。男性占 66%。上吊是最常见的自杀方式,也是男性患者最常见的自杀方式,而溺水则是女性患者最常见的自杀方式。男性性别、三级转诊、入院期间发生不良社会心理事件、未请假而缺勤以及表示绝望被认为是住院病人自杀的独立风险因素。使用药物、非自愿拘留、家族自杀史和入院次数均无显著影响:虽然敏感度不高,但无假期缺勤、三级转诊和绝望是住院病人自杀风险的重要预测因素,治疗团队在制定护理计划时应加以考虑。
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Predictors of inpatient suicide in an Irish psychiatric service, a longitudinal case-control study.

Objective: Inpatient suicide remains difficult to predict. This study aimed to identify individual patient predictors to help identify those at greater risk.

Methods: This case-control study was undertaken in an independent mental health service in Ireland. Cases were drawn from all admissions to the service between March 2004 and February 2019. Controls were matched for date of admission. Univariate and multivariate analyses were conducted.

Results: Thirty-three cases of inpatient suicide were compared to 132 controls. The inpatient suicide rate was 76.2 per 100,000 admissions. The rate of inpatient suicide fell in line with national rates despite less restrictive practices being implemented in the service. Males accounted for 66% of cases. Hanging was the most common method of suicide overall and among male patients, and drowning was the most common among females. Male gender, tertiary referral, an adverse psychosocial event during admission, a period of absence without leave and expressing hopelessness were identified as independent risk factors for inpatient suicide. Substance use, involuntary detention, family history of suicide, and number of previous admissions were not significant.

Conclusions: While not highly sensitive, a period of absence without leave, tertiary referral and hopelessness are important predictors of inpatient suicide risk that treating teams should consider in care planning.

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来源期刊
Suicide and Life-Threatening Behavior
Suicide and Life-Threatening Behavior Medicine-Public Health, Environmental and Occupational Health
CiteScore
5.40
自引率
3.10%
发文量
96
期刊介绍: An excellent resource for researchers as well as students, Social Cognition features reports on empirical research, self-perception, self-concept, social neuroscience, person-memory integration, social schemata, the development of social cognition, and the role of affect in memory and perception. Three broad concerns define the scope of the journal: - The processes underlying the perception, memory, and judgment of social stimuli - The effects of social, cultural, and affective factors on the processing of information - The behavioral and interpersonal consequences of cognitive processes.
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