Psychiatric disorders and clinical correlates of suicidal patients admitted to a psychiatric hospital in Tokyo 英文参考文献.docVIP
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Psychiatric disorders and clinical correlates of suicidal patients admitted to a psychiatric hospital in Tokyo 英文参考文献
Hayashietal.BMCPsychiatry2010,10:109
/1471-244X/10/109
RESEARCH ARTICLE
OpenAccess
Psychiatricdisordersandclinicalcorrelatesof
suicidalpatientsadmittedtoapsychiatric
hospitalinTokyo
NaokiHayashi1,2,3,4*,MiyabiIgarashi1?,AtsushiImai1?,YukaOsawa1?,KaoriUtsumi1?,YoichiIshikawa1?,
TaroTokunaga1?,KayoIshimoto1?,HirohikoHarima1,YoshitakaTatebayashi5,NaokiKumagai6,
MakotoNozu7,HidetokiIshii8,YujiOkazaki1,2
Abstract
Background:Patientsadmittedtoapsychiatrichospitalwithsuicidalbehavior(SB)areconsideredtobeespecially
athighriskofsuicide.However,thenumberofstudiesthathaveaddressedthispatientpopulationremains
insufficientcomparedtothatofstudiesonsuicidalpatientsinemergencyormedicalsettings.Thepurposeofthis
studyistoseekfeaturesofasampleofnewlyadmittedsuicidalpsychiatricpatientsinametropolitanareaof
Japan.
Method:155suicidalpatientsconsecutivelyadmittedtoalargepsychiatriccenterduringa20-monthperiod,
admissionstylesofwhomweremostlyinvoluntary,wereassessedusingStructuredClinicalInterviewsforDSM-IV
AxisIandIIDisorders(SCID-ICVandSCID-II)andSB-relatedpsychiatricmeasures.Associationsofthepsychiatric
diagnosesandSB-relatedcharacteristicswithgenderandagewereexamined.
Results:ThecommonDSM-IVaxisIdiagnoseswereaffectivedisorders62%,anxietydisorders56%andsubstance-
relateddisorders38%.56%ofthesubjectswerediagnosedashavingborderlinePD,and87%ofthem,atleastone
typeofpersonalitydisorder(PD).SBmethodsusedpriortoadmissionwereself-cutting41%,overdosing32%,self-
strangulation15%,jumpingfromaheight12%andattemptingtrafficdeath10%,thefirsttwoofwhichwere
frequentamongyoungfemales.Themedian(range)ofthetotalnumberofSBsinthelifetimehistorywas7(1-
141).Severityofdepressivesymptomatology,suicidalintentandothersymptoms,proportionsofthesubjectswho
reportedSB-precedinglifeeventsandlifeproblems,andchildhoodandadolescentabusewerecomparableto
thoseofthepreviousstudiesconductedinmedicaloremergencyservicesettings.Genderandage-relevantlife-
problemsandlifeeventswereidentified.
Conclusions:Featuresofthestudiedsam
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