A study on the related factors and nursing countermeasures of suicide accidents in psychotic inpatients among different years

Attend to Practice and Research Pub Date : 2008-05-08 DOI:10.3760/CMA.J.ISSN.1673-4351.2008.05.008

Xiao-xuan Wang, Miaoping Wu, Zhen-song Gao

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Abstract

Objective To study the related factors of suicide accidents in psychotic inpatients among different years.so as to explore the nursing countermeasures for foreseeing and preventing suicide accidents.Methods The data of 32 suicide inpatients during 1961 to 2000 were reviewed about suicide related factors.The related factors of suicide accidents were analyzed by Logistic regression analysis.Results The suicide rates of psychotic inpatients showed no significant difference among different psychosis(P>0.05).Suicide accidents were correlated with psychopathologic symptoms.The main risk factors of suicide were suicide past history,suicide family history,severe ill-condition,negative life events and insufficient social support.Better treatment adherence war protective factor of suicide accident. Suicide rates showed significantly decreasing tendency among different years(P<0.01).Conclusion lt's helpful for preventing suicide accident to perform multiple nursing countermeasures,including to completely evaluate risk factors of suicide and adopt foresight nursing,control ill-onset and enhance supervision. Key words: Differnet years; Psychotic inpatient; Suicide; Risk factor; Nursing

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不同年限精神病住院患者自杀事故的相关因素及护理对策研究

目的探讨不同年限精神病住院患者自杀事故的相关因素。探讨预防自杀事故的护理对策。方法对我院1961 ~ 2000年收治的32例自杀住院患者的自杀相关因素进行回顾性分析。采用Logistic回归分析自杀事故的相关因素。结果精神病住院患者自杀率在不同精神病类型间差异无统计学意义(P>0.05)。自杀事故与精神病理症状相关。自杀的主要危险因素为自杀史、自杀家族史、严重疾病、不良生活事件和社会支持不足。较好的治疗依从性是自杀事故的保护因素。自杀率在不同年份间呈显著下降趋势(P<0.01)。结论全面评估自杀危险因素，采取前瞻性护理、控制发病、加强监督等多种护理对策有助于预防自杀事故。关键词:不同年份;精神病住院;自杀;风险因素;护理

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