19例住院患者夜间自杀现状分析与防范对策

Current Situation of Night Suicide of Inpatients and Its Preventive Strategies

目的 研究综合医院住院患者夜间自杀现状及其防范对策。方法 回顾性分析2008年1月—2014年7月某三级甲等医院护理安全不良事件上报系统中的30例住院患者自杀事件。结果 30例自杀患者中,夜间自杀患者共19例,占63%,住院患者夜间自杀所占比例高于白天。而在19例夜间自杀患者中,45-59岁中年患者9例,占47%;癌症晚期患者12例,占63%。夜间自杀患者自杀方式以跳楼为主,地点多选择在病房内;夜间患者自杀行为致死率高,结局严重。结论 综合性医院住院患者夜间自杀问题比较突出,不容忽视,建议采取防范对策,以减少或杜绝患者夜间自杀行为的发生。

Objective To study the current situation of night suicide of inpatients in general hospital and its preventive strategies.Methods Thirty suicide samples reported in a Class Ⅲ Grade Ⅰ hospital from January 2008 to July 2014 were retrospectively analyzed. Results Of the total, 19 samples committed suicide at night, accounting for 63%. The proportion of suicide at night was higher than that in the daytime. In 19 cases inpatients committing suicide at night, there were nine patients aged from 45 to 49,accounting for 47%, and 12 patients with advanced cancer, accounting for 63%. Jumping from the building was the main method for suicide at night, and ward witnessed the suicide frequently. Suicide at night caused high fatality rate and serious consequence.Conclusion It should not be ignored that inpatients commit suicide at night in general hospitals and preventive strategies should be taken to reduce or eliminate the occurrence of night suicide.