自杀与台湾精神病医院住院的关联
Jia-Chi Shan1,2,3, Mei-Chih Meg Tseng2,4,5, Chin-Hao Chang6
1Department of Psychiatry, Cathay General Hospital, Taipei, Taiwan.
概括
自杀死亡的人很少有先前精神病医院住院的情况,这表明需要加强住院治疗. 出院后的自杀风险多年来仍然很高,特别是在女性和有情感障碍的人群中.
科学领域:
- 精神病学是一个精神病学.
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 关于亚洲的自杀和精神病医院住院模式存在重大知识差距.
- 台湾的医疗保健系统为研究这些关系提供了一个独特的环境.
研究的目的:
- 调查台湾自杀前的住院服务利用情况.
- 为了检查精神病医院住院期间和之后的自杀风险.
主要方法:
- 采用了一个嵌套的病例控制研究设计.
- 数据来源于台湾国家健康保险研究数据库.
- 控制组是匹配病例的自杀日期活着的人.
主要成果:
- 只有5.7%的自杀案例在前一年被住院治疗.
- 以前住院增加了住院和出院后的自杀风险,在出院后的第一周达到峰值,并保持超过7年的升高水平.
- 女性和患有情感障碍的患者表现出更高的自杀风险.
结论:
- 较低的先前精神病医院住院率表明有机会加强精神疾病的住院治疗.
- 基于社区的自杀预防策略对于改善治疗机会和护理连续性至关重要.
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