住院精神疾病患者自杀行为的临床评估  

Clinical assessmant of suicide behavior of inpatients with mental disorders

作　　者：陈进[1] 翟书涛[1] 

机构地区：[1]南京医科大学附属脑科医院,210029

出　　处：《临床精神医学杂志》2005年第6期335-336,共2页Journal of Clinical Psychiatry

摘　　要：目的:检验对自杀行为临床评估的精确性。方法:对既往有自杀行为的34例住院精神疾病患者的自杀行为再评估,并与临床评估相比较。结果:入院时对曾经计划的自杀方法及自杀家族史的记录的正确率为50.0%,在1个月后对自杀行为再评定者为42.3%。护理记录对既往自杀行为、最危险的自杀时间方法及损害程度的描述均低于50.0%。出院记录对过去和当前自杀行为和意念的记录非常不充分,出院记录中对自杀的评估与疗效和住院时间均呈显著负相关。结论:半定式检查记录工具的应用,可以改善自杀行为的文件记录和监测,现有记录还有待进一步改进。临床出院记录应更为精确地记录自杀行为。Objective：To test accuracy of clinical assessment of suicidal behavior Method： Assessed 34 inpatients with mental disorders who had suicidal behavior again, and compared with clinical assessment. Results： At admission in record, the rate of accuracy of methods and family history of suicide were 50.0%. Re-assessments of suicidal behavior after 1 month were 42.3 %. Description of nurse＇s records in all suicidal behavior, most dangerous time and method of suicide were less than 50.0%. Data of past and present suicidal behavior were very insufficient. There was negative relationship between assessment on suicidal behavior and both efficacy and admision time in admitted record. Conclusion： Use of semi-structured tool of examination and record can improve the record document and supervision and test of suicidal behavior. It should be further improved in modem record. Clinical admitted record should record the suicidal behaior more accuracy.

关 键 词：住院患者 精神疾病 自杀行为 

分 类 号：R749[医药卫生—神经病学与精神病学]