精神病人自杀行为的随访研究

A 5-year follow-up study of suicide attempts

目的 探讨精神病人自杀行为的危险因素。方法 对 73例有自杀行为的精神病人出院后进行 5年跟踪随访研究。结果 出院后 5年内有 6 1.6 %的病人再次出现自杀行为 ,其中 15 .1%的病人自杀身亡。再次出现自杀的因素有阳性家族史、社会支持状态较差等。结论 有精神病和自杀家族史且有自杀行为者再次发生自杀的机率较大 ,病人出院后的心理康复治疗和建立良好的社会环境是防止自杀的重要措施。

Objective This was a follow up study of suicidal patients to assess the influence over time of different risk factors.Method A cohort of 73 patients admitted to a psychiatric department after a suicide attempt was followed up for 5 years.Results In total,61.6% reattemped,15.1% of which had committed suicide during the follow up.The rist factors for suicide included history of family psychiatric or suicide,and a poor social support,et al.Conclusion The results suggest a high repetition rate of suicide attempters in the psychotic patients who had previous suicidal behaviour and them positive family history.The preventive strategy to suicide in patients,such as set up good social network and should pay mroe attention to psyciologic rehabilitation period after discharge.