精神科住院治疗自杀未遂及再自杀1年随访。

IF 3.2 2区心理学 Q1 PSYCHOLOGY, MULTIDISCIPLINARY

Psicothema Pub Date : 2022-08-01 DOI:10.7334/psicothema2021.455

Adriana Goñi-Sarriés, Nora Yárnoz-Goñi, José J López-Goñi

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引用次数: 2

摘要

背景:因自杀未遂(SA)住院的患者在出院后的头几个月内有重复自杀和自杀的高风险。本研究的目的是比较常规治疗(TAU)与TAU补充电话随访计划(TAU + T)。方法:多中心、开放试验、事后前后前瞻性研究，比较2018-2019年在两个精神病学单位入院的90名(TAU)和101名(TAU + T)患者样本，随访一年。对重复sa进行分析。结果:31.4% (n =60)的样本在随访期间至少有一次自杀企图，各单位之间无差异。在接下来的一年中，共有32.5% (n =62)再次入院，其中15.6%是由于新的自杀企图。在TAU中，再尝试的比例最高的是那些被诊断为人格障碍的人(77.8%)，而不是其他诊断(28.4%)。在TAU + T中，有SA病史的患者(50%)与首次SA患者(4.4%)的比例最高。结论:首次SA入院的患者似乎受益于TAU + T治疗，因为它与出院后SA复发率较低有关。

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Psychiatric Hospitalization for Attempted Suicide and Reattempt at the One-Year Follow-Up.

Background: People hospitalized for suicide attempt (SA) have a high risk of repeating and committing suicide during the first months after discharge. The aim of this study is to compare the usual treatment (TAU) with a TAU supplemented with a telephone follow-up programme (TAU + T).

Method: Multicentre, open-trial, ex post facto pre-post prospective study that compared two samples of 90 (TAU) and 101 (TAU + T) people admitted in 2018-2019 for attempted suicide in two psychiatry units after one-year follow-up. Repeated SAs were analysed.

Results: A total of 31.4% (n =60) of the sample attempted suicide at least once during follow-up, with no differences between the units. A total of 32.5% (n =62) were readmitted during the following year, 15.6% of those readmissions were due to new suicide attempts. In TAU, the highest proportion of reattempts was among those diagnosed with personality disorders (77.8%) vs. other diagnoses (28.4%). In TAU + T, the highest proportion was found among those with previous SAs (50%) vs. those admitted for the first SA (4.4%).

Conclusions: People admitted to psychiatric units for a first SA seem to benefit from TAU + T as it was associated with a lower recurrence of SA after discharge.

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来源期刊

Psicothema PSYCHOLOGY, MULTIDISCIPLINARY-

CiteScore

6.50

自引率

16.70%

发文量

审稿时长

24 weeks

期刊介绍： La revista Psicothema fue fundada en Asturias en 1989 y está editada conjuntamente por la Facultad y el Departamento de Psicología de la Universidad de Oviedo y el Colegio Oficial de Psicólogos del Principado de Asturias. Publica cuatro números al año. Se admiten trabajos tanto de investigación básica como aplicada, pertenecientes a cualquier ámbito de la Psicología, que previamente a su publicación son evaluados anónimamente por revisores externos. Psicothema está incluida en las bases de datos nacionales e internacionales más relevantes, entre las que cabe destacar Psychological Abstracts, Current Contents y MEDLINE/Index Medicus, entre otras. Además, figura en las listas de Factor de Impacto del Journal Citation Reports. Psicothema es una revista abierta a cualquier enfoque u orientación psicológica que venga avalada por la fuerza de los datos y los argumentos, y en la que encuentran acomodo todos los autores que sean capaces de convencer a los revisores de que sus manuscritos tienen la calidad para ser publicados. Psicothema es una revista de acceso abierto lo que significa que todo el contenido está a disposición de cualquier usuario o institución sin cargo alguno. Los usuarios pueden leer, descargar, copiar, distribuir, imprimir, buscar, o realizar enlaces a los textos completos de esta revista sin pedir permiso previo al editor o al autor, siempre y cuando la fuente original sea referenciada. Para acervos y repositorios, se prefiere que la cobertura se realice mediante enlaces a la propia web de Psicothema. Nos parece que una apuesta decidida por la calidad es el mejor modo de servir a nuestros lectores, cuyas sugerencias siempre serán bienvenidas.