上海浦东新区438例精神疾病患者自杀死亡的特征分析

发布时间：2018-05-20 10:10

本文选题：精神疾病 + 自杀　；参考：《复旦学报(医学版)》2017年S1期

【摘要】：目的对精神疾病患者自杀的一般特征进行分析总结,探讨该类人群自杀死亡的特点,为社会前期干预自杀事件的发生提供参考。方法收集上海市浦东新区2007—2016年精神疾病患者自杀的案件,对死者性别、年龄、自杀方式、死亡原因等进行回顾性分析。结果收集438例精神疾病患者自杀案例,女性明显多于男性;年龄集中于30~70岁,其中60~70岁年龄段发病率最高,年龄最小者11岁,年龄最大者93岁;抑郁症患者比例最高(48.2%),其次为精神分裂症(16.7%)、妄想症(1.6%)及焦虑症(0.9%);采用高坠和自缢方式自杀的人数最多,比例分别为43.6%、31.5%;438例案件中47例有先发症状(留有遗书、流露自杀意向或有自杀史)。结论精神疾病患者(尤其是抑郁症)已经成为自杀人群中不可忽视的因素,早期干预及治疗应当引起社会足够的重视,尽量避免悲剧的发生。
[Abstract]:Objective to analyze and summarize the general characteristics of suicides in patients with mental illness, and to explore the characteristics of suicide and death among these patients, and to provide reference for the intervention of suicide in the early stage of society. Methods the suicide cases of mental illness patients from 2007 to 2016 in Pudong New District of Shanghai were collected and the sex, age, suicide mode and cause of death were analyzed retrospectively. Results in 438 cases of mental illness, the number of females was significantly higher than that of males, the age was 30 ~ 70 years old, the incidence rate of 6070 years old was the highest, the youngest was 11 years old, and the oldest was 93 years old. The highest proportion of patients with depression was 48.2%, followed by schizophrenia 16.7, paranoia 1.6) and anxiety disorder 0.90.The number of suicides by falling and hanging was the highest, respectively, with 43.615% and 41.5% of 438 cases, with 47 cases having first symptoms (leaving a suicide note, respectively). Express suicidal intention or have a history of suicide. Conclusion Mental illness (especially depression) has become a factor that can not be ignored in suicidal population. Early intervention and treatment should be paid enough attention to avoid tragedy as far as possible.
【作者单位】：上海市公安局浦东分局刑事科学技术研究所;江苏省南京市公安局六合分局;
【分类号】：D919.4

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