自殺未遂者に対する精神科作業療法介入の可能性─急性一酸化炭素中毒の症例を通して

Psychiatric occupational therapy for attempted suicide : A case study of an acute carbon monoxide intoxication patient

要旨：本報告の目的は，これまでの精神科作業療法では稀な自殺未遂者に対する介入例を報告し，その介入方法の確立の一助とすることである．症例は自殺未遂による一酸化炭素中毒患者で，入院時には焦燥感，攻撃性，治療環境への不適応が認められていた．急性期の極短期間のリエゾン対応にて，症例に適した作業活動を提供し支持的精神療法を用いた関わりを行った．その結果，症例は自己を客観視できるようになり，自己評価を高めることで自尊心を回復した．以上のことより自殺未遂者への急性期治療として，精神科作業療法が有益であることが示唆された．

　This study attempts to establish an intervention method for attempted suicide cases. Intervention by psychiatric occupational therapy for suicidal cases is rare. The patient was admitted to the hospital for attempted suicide by carbon monoxide poisoning. He was irritated aggressive, and did not adjust well to the treatment environment. Although acute phase occupational therapy intervention was short, the performance of suitable activities and supportive psychotherapy helped the patient to understand his situation, and improved his self-assessment, thus enhancing his self-esteem. The study suggests that psychiatric occupational therapy can play an instrumental role in the treatment of attempted suicide cases.