某院19起住院患者自杀事件特征分析

目的：分析综合医院住院患者发生自杀事件的特点规律，为防范住院患者自杀提供依据。方法回顾性分析某三甲医院2008年4月至2012年10月发生的19起住院患者自杀事件的特点、自杀的时间、方式等。结果住院患者自杀涉及全院内、外、专、老年病科等12个科室；肿瘤患者7例、占36．8％，肾病终末期患者5例、占26．3％；跳楼16例、占84．2％；自杀时间是午后至夜间，其中晚夜间15例，占78．9％；结论自杀事件可发生在综合医院的任何科室、任何年龄、性别的成人患者中；肿瘤、肾病终末期和抑郁症等精神障碍患者是住院患者自杀的高危人群；晚夜间，特别是凌晨是患者自杀的高危时段；跳楼是医院住院患者自杀采取的主要方式。安全警示：应加强医护人员识别和处置意识和能力；规范管理，关注自杀高危人群的，完善病区环境安全设施。

Analysison 19 Suicide Cases of Inpatient in Certain Hospital

Objective To analyze features of suicides of inpatients in comprehensive hospital , to provide evidence for suicide prevention .Method A retrospective analysis of 19 suicide incidents from April 2008 to Octo-ber 2012 in certain hospital was conducted .The characteristics , time and methods of suicide were analyzed .Results Suicidal inpatients come from 12 departments , including departments of internal medicine , surgery and geri-atrics.There are 7 patients of tumor, accounts for 36.8%.There are 5 patients of nephropathy at terminal stage , accounting for 26 .3%.As for their methods , there are 16 patients jumping to death , accounting for 84 .2%.The time of committing suicides ranges from afternoon to night .There are 15 patients committing suicide at midnight , accounting for 78 .9%.Conclusion Suicides can occur in any adult patients at any age of any sex from any de-partments .Patients of tumor , nephropathy at terminal stage , depression and other mental disorder are at high risk of committing suicide .Evening , especially midnight will be a extremely dangerous time for patients .Jumping to death is the main way for suicide .Precaution strategy：hospitals should improve doctor and nurses＆#39;abilities to iden-tify and handle suicide , enforce standardized management , pay attention to patients in high risk of suicide , upgrade safety devices in hospitals .