2013—2016年134例精神疾病患者死亡案例的回顾性分析

发布时间：2018-03-13 09:38

本文选题：精神疾病　切入点：死亡方式　出处：《复旦学报(医学版)》2017年S1期 　论文类型：期刊论文

【摘要】：目的分析精神疾病患者死亡的法医学特征,为司法鉴定和临床关怀提供实践指导。方法收集上海市公安局虹口分局2013—2016年受理的精神疾病患者死亡案例,通过系统的案情调查、尸表检验,对所有死者的死亡原因、死亡方式及与相关因素进行统计学分析。结果 2013—2016年间共有134例精神疾病患者死亡。男女比例为1∶1.23,平均年龄为(54.9±17.6)岁。89人(66.4%)精神病史超过3年,106人(79.1%)生前服用精神药物。抑郁症最常见(94例),其次为精神分裂症(35例)和焦虑症(5例)。死亡方式分别为自杀(117例)、猝死(16例)和意外(1例)。自杀案件以高坠最常见(79例,58.9%)。猝死案例较自杀案例具有更长的精神病史和用药史,多发生于住宅内。结论应重视精神疾病患者的精神和心理状况,同时注重预防和治疗其他躯体疾病。
[Abstract]:Objective to analyze the forensic characteristics of the death of mental illness patients, and to provide practical guidance for forensic identification and clinical care. Methods the death cases of mental illness patients accepted by Hongkou Branch Bureau of Shanghai Public Security Bureau from 2013 to 2016 were collected and investigated systematically. A post-mortem examination of the causes of death of all the dead, Results 134 patients with mental illness died between 2013 and 2016. The ratio of male to female was 1: 1.23, with an average age of 54.9 卤17.6 years. 89 patients (66.4) had a history of mental illness for more than 3 years. Drug. Depression is the most common disease in 94 cases, followed by schizophrenia in 35 cases) and anxiety disorder in 5 cases. The methods of death are 117 cases of suicide and 16 cases of sudden death) and 1 case of accidental death. The most common suicide cases are 79 cases of sudden death. Has a longer history of mental illness and medication than suicide. Conclusion attention should be paid to the mental and psychological status of patients with mental illness and to the prevention and treatment of other physical diseases.
【作者单位】：上海市公安局虹口分局刑事科学技术研究所;复旦大学基础医学院法医学系;华东政法大学刑事司法学院;
【基金】：国家自然科学基金面上项目(81571849) 全国博士后科学基金面上项目(2016M601507)~~
【分类号】：D919

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