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Clinical Characteristics of Suicidal Patients Admitted to a Psychiatric Hospital:A chart review study Naoki HAYASHI 1,2,3,4 , Yoichi ISHIKAWA 1 , Miyabi IGARASHI 1 , Atsushi IMAI 1 , Yuka OSAWA 1 , Kaori UTSUMI 1 , Kayo ISHIMOTO 1 , Taro TOKUNAGA 1 , Yuji OKAZAKI 1,2 1Department of Psychiatry, Tokyo Metropolitan Matsuzawa Hospital, Tokyo, Japan 2Research Project for the Recovery from Schizophrenia, Tokyo Institute of Psychiatry 3Faculty of Medicine, Tokyo Medical and Dental University 4Department of Psychogeriatrics, National Institute of Mental Health, National Center of Neurology and Psychiatry Keyword: Suicidal behavior , Suicidal attempt , Psychiatric admission , Self-injurious behavior , Self-poisoning pp.1005-1014
Published Date 2011/10/15
DOI https://doi.org/10.11477/mf.1405101999
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 Suicidal patients admitted to psychiatric hospitals are supposed to be at a particularly high-risk of suicide. However, this patient population has been much less investigated than suicidal patients in emergency and medical settings. To remedy this situation, we performed a chart review study on 586 psychiatric patients consecutively admitted to a psychiatric hospital with suicidal behavior (SB) in a 3-year period. The methods of attempt in patients showing SB before they were admitted are as follows:self-cutting observed in 37% of the subjects, overdosing observed in 26%, jumping from a height observed in 16%, and self-strangulation observed in 13% of the subjects. Frequent ICD-10 diagnoses among the subjects included psychotic disorders seen in 37% of the subjects;mood disorders, in 16% of the subjects;and substance use disorders, in 14% of the subjects. Personality disorders were seen in 29% of the subjects;the most frequent of the PDs was emotionally unstable PD, borderline type seen in 17% of the subjects. SB was, in most cases, not life threatening, and did not cause severe physical damage. Among the patients admitted during the study period, those showing SB were younger, more often female, and more often showed mood disorders, neurotic and stress-related disorders, and PDs. There was no particular association between the methods of attempt in SB cases and the diagnostic groups;however, there was an association between overdosing and PDs. These findings provide basic information that would help in the development of treatment guidelines and SB or suicide prevention strategies for suicidal psychiatric patients.


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電子版ISSN 1882-126X 印刷版ISSN 0488-1281 医学書院

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