首次自杀未遂者和重复自杀未遂者的对照研究

A controlled study of first-time suicide attempters and repeated suicide attempters

目的 :探讨首次自杀未遂者和重复自杀未遂者的区别。方法 :检查 12 6名因自杀未遂而入院的患者 ,分为首次自杀未遂组和重复自杀未遂组 ,获得有关的临床资料并进行自杀意图及自杀企图冲动性和致死性的测定 ,将有关项目作对比分析。结果 :有 5 1(4 0 5 % )名重复自杀未遂者 ,与首次自杀未遂者比较 ,重复自杀未遂者已婚居多、文化程度较低、缺乏固定的经济收入、有较多的既往精神科治疗史、常饮酒、企图自杀前与他人交流少 ,自杀意图较低 ,冲动性较高 (P均 <0 0 5 )。结论 :对伴有某些危险因素的自杀未遂者应积极进行医学干预 ,以期减少自杀行为的再次发生。

Objective:To explore differences between first time suicide attempters and repeated suicide attempters Methods:A total of 126 suicide attempters were interviewed within 10 days after arrival at a hospital Clinical characteristics were obtained Suicidal intent,impulsiveness and lethality of the attempt were measured,then the relevant analysis were performed with the SPSS statistical software package Results:Of the 126 suicide attempters,51(40 5%)had at least made one previous suicide attempts Compared with nonrepeaters,repeaters were more often married and poorly educated They usually lacked regular economic income and had more previous psychiatric contact They more often had alcohol abuse and less contact with others before the index suicide attempts,while their suicidal intent were lower and their suicidal impulsiveness were higher(P<0 05) Conclusions:Suicide attempters with some dangerous factors should be given active medical intervention in order to reduce suicide behaviours