医学图表审查,以探索精神病医院住院患者的自杀和自我伤害思想和行为
Bryce E Stoliker1, Temilola Balogun1, Haile Wangler1
1Centre for Forensic Behavioural Science and Justice Studies, University of Saskatchewan, Saskatoon, SK, Canada.
Omega
|August 5, 2024
概括
自杀和自我伤害在精神病医院住院患者中很常见,其中62%的患者有病史. 法医患者显示这些事件的发生率更高,突出显示需要进一步研究.
科学领域:
- 精神病学是一个精神病学.
- 公共卫生 公共卫生
- 犯罪学 犯罪学
背景情况:
- 自杀和自我伤害率的上升是精神病医院住院病人的一个重大问题.
- 了解这些事件的患病率和促成因素对于改善患者护理和安全至关重要.
研究的目的:
- 估计精神病医院住院患者群体中非致命的自杀和自我伤害事件的患病率并确定相关性.
- 为了比较这些事件的发生在民事和法医精神病患者之间.
主要方法:
- 来自加拿大萨斯喀彻温省183名精神病医院住院患者 (民事和法医) 的健康数据的回顾性收集.
- 分析终身医疗记录和最近发生的自我伤害和自杀思想或行为.
- 使用了描述性和推断性的统计分析.
主要成果:
- 62%的患者有非致命的自杀或自我伤害事件的记录历史.
- 终身患病率包括自我伤害 (42%) 和自杀行为 (37%).
- 最近发生的事件包括自伤 (24%) 和自杀想法/行为 (31%).
- 与民间患者相比,法医患者的记录自杀和自我伤害事件的可能性显著更高.
结论:
- 自杀和自我伤害事件在精神病医院住院患者中非常普遍.
- 法医状态与自杀和自伤风险增加有关.
- 需要进一步的研究,以了解这一群体中自杀倾向和自我伤害的轨迹.
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