Analysis of psycho-sociodemographic features in referred male psychiatric patients with suicidal ideation

Dimény Edina, Brassai Attila
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Abstract

Abstract Suicide is defined by the World Health Organization as an act in which an individual ends his or her own life. Suicidal behavior is a major public health problem worldwide. According to the World Health Organization, the global suicide rate is 10,5/100.000 – 13,5/100.000 in case of men and 7,7/100 000 in case of women and is the 2nd most common cause of violent death. Suicide is a multifactorial phenomenon that can be approached from different perspectives. In Romania, this rate is similar to the global rate: in 2016, the estimated suicide rate was 10.4/100,000, well below the European average. Suicide rates vary by region, age group, gender, ethnicity, and registration of mortality statistics. The aim of the present study is to investigate the psycho-socio-demographic indicators of a cohort of patients with suicidal thoughts emergency referred to a particular psychiatric ward in one year. In our research, we performed a case-control, analytical, randomized, observational study at the Clinical Hospital of Neurology and Psychiatry Brasov among adult psychiatric patients admitted during 2014. The following data on patients were processed: demographic data (age, gender, place of residence), psychosocial data (social background, marital status, education), chronic somatic comorbidities, family history of psychiatric illness, pre-existing psychiatric illnesses, previous suicide attempts and their characteristics. The risk of suicide was assessed by the Modified Scale for Suicide Ideation - Miller et al. Questionnaire and distinguished 3 categories. In our sample of 77 cases we identified 14 patients with low suicide risk, 17 with moderate risk and 46 with high suicide risk. The focus of our study was on suicidal behavior. Suicide attempt, as a complex clinical problem with a waste complexity of ethiology, has high demands on psychiatric care. Being familiar with the different psycho-socio-demographic profiles by gender is proved to be a useful tool in both “screening” and in subsequent case management. These principles can facilitate decision-making, can increase adherence to treatment, and reduce the risk of repetitive attempts.
转诊男性精神病患者自杀意念的心理-社会人口学特征分析
世界卫生组织将自杀定义为个人结束自己生命的行为。自杀行为是世界范围内的一个主要公共卫生问题。根据世界卫生组织的数据,全球自杀率男性为10 5/100 000至13 5/100 000,女性为7 7/100 000,是第二大最常见的暴力死亡原因。自杀是一个多因素的现象,可以从不同的角度来看待。在罗马尼亚,这一比率与全球相似:2016年,估计自杀率为10.4/10万,远低于欧洲平均水平。自杀率因地区、年龄组、性别、种族和死亡统计登记而异。本研究的目的是调查一年内有自杀念头紧急转介到特定精神科病房的一组患者的心理-社会人口统计指标。在我们的研究中,我们对2014年在布拉索夫神经病学和精神病学临床医院住院的成年精神病患者进行了一项病例对照、分析、随机、观察研究。对患者的以下数据进行了处理:人口统计数据(年龄、性别、居住地)、社会心理数据(社会背景、婚姻状况、教育程度)、慢性躯体合并症、精神疾病家族史、既往精神疾病、既往自杀企图及其特征。自杀风险采用Miller等人的自杀意念修正量表进行评估。问卷调查和区分3类。在我们的77例样本中,我们确定了14例低自杀风险患者,17例中等风险患者和46例高自杀风险患者。我们研究的重点是自杀行为。自杀企图作为一个具有伦理学复杂性的复杂临床问题,对精神病学护理有着很高的要求。事实证明,熟悉不同性别的心理-社会-人口学概况在“筛查”和随后的病例管理中都是有用的工具。这些原则可以促进决策,增加对治疗的坚持,并减少重复尝试的风险。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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