摘要
目的 了解综合医院急诊内科中自杀患者的动态变化。方法 使用自编调查表分别于1994年 (1994年组 )和 1999年 (1999年组 )对一所综合医院急诊内科收治的自杀患者进行调查 ,内容包括一般人口学资料、自杀的原因、方法和转归 ;并比较两次调查的结果。结果 1994年组和 1999年组分别收治自杀患者 2 47例和 372例 ,分别占总就诊人数的 1 89%和 2 41% (P >0 0 5 )。年龄为 15～ 2 5岁者 1999年组 (38 2 % )高于 1994年组 (2 2 7% ) ,差异有显著性 (P <0 0 5 )。 1994年组和 1999年组 (以下按此顺序叙述 )均为女性多于男性 (男∶女分别为 1∶5 3和 1∶3 1) ,未婚者多 (分别为 6 0 3%和5 5 9% )及教育水平低者多 (分别为 6 1 1%和 5 8 3% )。自杀方式均以服毒自杀为主 (分别为 96 0 %和94 7% ) ,其中 1994年组以服农药者多 (5 4 3% ) ,1999年组以服镇静安眠药者多 (5 1 1% )。家庭纠纷、恋爱婚姻和人际关系问题是导致自杀的主要原因。结论 自杀患者已成为急诊内科就诊患者中的重要组成部分 。
Objective To study the dynamic characteristics in suicide patients in emergency department of general hospital Methods Suicide patients from the emergency department in a general hospital were surveyed in 1994 and 1999 respectively A self compiled questionnaire including the demographic information of the patients, the cause and the way for suicide, and the outcomes was used Results There were 247 cases in 1994 group, which was about 1 89% of all emergency patients in the same year While in 1999 group, there were 372 cases, which was about 2 41% of all patients in the year The females were more than males in the both groups with the ratios of 5 3∶1 and 3 1∶1 respectively The patients at the age of 15 25 years were more in 1999 group(38 2%) than in 1994 group (22 7%) In both groups, most patients were unmarried (60 3% in 1994, 55 9% in 1999) and had lower education (61 1% in 1994, 58 3% in1999) The family dispute, marriage problems, and inter personal relationship were the common causes led to suicide Taking poisons was the common way to commit suicide in both groups(96 0% and 94 7% respectively),and pesticides were more used than hypnotics in 1994 group, while it was opposite in 1999 group Conclusion The suicide is becoming an important part of patients in emergency department Some characteristics of suicide have been changed in the past 5 years
出处
《中华精神科杂志》
CAS
CSCD
北大核心
2001年第2期109-112,共4页
Chinese Journal of Psychiatry
关键词
综合医院
病例对照研究
自杀
General hospitals
Case control studies
Suicide
