在爱尔兰精神病学服务中,住院患者自杀的预测因素,一个纵向病例控制研究
Yvonne Hartnett1, Thekiso B Thekiso1, Paulina Kowalska-Beda1
1St Patrick's University Hospital, Dublin, Ireland.
Suicide & life-threatening behavior
|March 22, 2024
概括
确定住院患者的自杀风险至关重要. 关键预测因素包括男性性别,三级转诊,不良事件,无休假的缺席和绝望,有助于临床护理规划.
科学领域:
- 精神病学是一个精神病学.
- 心理健康研究 心理健康研究
- 临床心理学 临床心理学
背景情况:
- 住院患者自杀是一个重大的临床挑战,需要改进风险预测.
- 目前用于在住院治疗中识别有风险的个体的方法需要改进.
研究的目的:
- 为了确定个体患者预测住院患者自杀的预测因素.
- 提高识别住院患者自杀风险较高个体的能力.
主要方法:
- 在爱尔兰的一家精神卫生服务中进行了一项病例对照研究.
- 从2004年3月到2019年2月的数据包括33例住院自杀病例和132个匹配的对照.
- 用单变量和多变量分析来确定风险因素.
主要成果:
- 住院患者自杀率为每10万例患者中有76.2例.
- 住院自杀的独立预测因素包括男性性别,三级转诊,不良心理社会事件,没有休假的缺席和绝望.
- 药物使用,非自愿拘留,家庭病史和以前的入院并不是显著的预测因素.
结论:
- 没有休假的缺席,三级转诊和绝望是住院患者自杀风险的重要预测因素,尽管不是高度敏感的.
- 治疗团队在为住院患者进行护理计划时应考虑这些因素.
- 基于这些预测因素的有针对性的干预措施可能有助于减轻住院患者的自杀风险.
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