post-hospitalization course and predictive signs of suicidal behavior of suicidal patients admitted to a psychiatric hospital a 2-year prospective follow-up study出院后,预测自杀患者的自杀行为的迹象进精神病院2年前瞻性随访研究.pdfVIP

Hayashi et al. BMC Psychiatry 2012, 12:186 /1471-244X/12/186 RESEARCH ARTICLE Open Access Post-hospitalization course and predictive signs of suicidal behavior of suicidal patients admitted to a psychiatric hospital: a 2-year prospective follow-up study 1,2,3,4* 1 1 5 5 5 Naoki Hayashi , Miyabi Igarashi , Atsushi Imai , Yuka Yoshizawa , Kaori Utsumi , Yoichi Ishikawa , 1 1 1 6 7 8 Taro Tokunaga , Kayo Ishimoto , Hirohiko Harima , Yoshitaka Tatebayashi , Naoki Kumagai , Makoto Nozu , Hidetoki Ishii9 and Yuji Okazaki1,2,10 Abstract Background: Suicidal patients admitted to a psychiatric hospital are considered to be at risk of suicidal behavior (SB) and suicide. The present study aimed to seek predictors of SB recurrence of the high-risk patients by examining their post-hospitalization course. Method: The design was 2-year prospective follow-up study of patients consecutively admitted with SB to a psychiatric center in Tokyo. The DSM-IV diagnoses and SB-related features of subjects were determined in structured interviews. Subsequently, the subjects underwent a series of follow-up assessments at 6-month intervals. The assessment included inquiries into SB recurrence, its accompanying suicidal intent (SI) and SF-8 health survey. Analyses of serial change over time in the follow-up data and Cox proportional hazards regression analyses of SB recurrence were performed. Results: 106 patients participated in this study. The dropout rate during the follow-up was 9%. Within 2 years, incidences of SB as a whole, SB with certain SI (suicide attempt) and suicide were 67% (95% CI 58 - 75