精神病患者住院期间自杀的特征及干预

为探讨精神病患者住院期间自杀的特征及有效干预措施,对出现自杀行为的56例精神病患者与随机抽取的同期住院、同一诊断、同性别、同年龄,最后一次住院无自杀行为的56例精神病患者进行1:1对照研究。结果,消极抑郁导致自杀者占57.14％;幻觉妄想导致自杀者占35.71％;因药物副反应自杀者占5.33％;信奉佛教自杀者占1.76％。提示,自杀除由精神症状原因驱使外,药物副反应引起自杀也不容忽视,因此对有药物副反应的患者,应加强干预。

The Characteristics and Intervention of Suicide in Hospitalized Patients with Psychosis

To explore the characteristics and effective intervening methods of suicide in hospitalized patients with psychosis, 1 to 1 control studies were conducted in 56 patients with suicidal behaviors and 56 ones who were matched in the time of hospitalization, diagnose, gender and age and had no suicidal behaviors in the last hospitalization. Results: 57. 14% of suicider was induced by passive depression, 35. 71% by hallucination and delusion, 5. 33% by the side reactions of drugs and 1. 76% by believing in the Buddhism. Conclusion: Excepting mental symptoms, the side reactions of drugs could also induce suicidal behavior, so intervention sould be enforced on the patients who had the side reactions of drugs.