5例艾滋病住院病人自杀原因分析

Analysis of suicide reason of 5 cases of hospitalized patients with AIDS

[目的]分析艾滋病住院病人自杀临床特点及原因,为自杀预防提供参考依据。[方法]采用目的抽样法对5例艾滋病病人自杀事件进行回顾性调查,并对知晓自杀事件的医护人员进行访谈,将访谈的资料进行分析、整理、提炼主题。[结果]艾滋病病人自杀原因可能是:病情重、失去治疗信心、无法接受艾滋病诊断及病耻感、社会支持差、未进行及时有效干预。[结论]通过加强宣传艾滋病相关知识、重建家庭与社会支持体系,减轻病耻感,建立住院艾滋病病人心理评估体系、及时进行心理干预,同时加强医院安全管理,可有效预防住院艾滋病病人的自杀事件。

Objective :To analyze the clinical characteristics and reasons of suicide of the hospitalized patientswith acquired immunodeficiency syndrome(AIDS) and provide a reference basis for prevention of suicide.Methods:The suicide incidents of five AIDS patients were by retrospectively investigated by using objective samplingmethod^the interviews were conducted for the medical staff who knew the suicide incidents.The interview datawere analyzed, sorted and refined.Results :AIDS patients' suicide reasons might be: severe illness, loss of treatmentconfidence ? the unacceptable AIDS diagnosis and disinformation, poor social support ? not timely and effective intervention.Conclusion : It could prevent the AIDS patients' suicide effectively to strengthen the propagandaof AIDS related knowledge? reconstruct the family and social support system , alleviate disease sham e?establishthe psychological assessment system of hospitalized AIDS patients, psychological intervention in time andstrengthen the hospital safety management.