psychiatric disorders and clinical correlates of suicidal patients admitted to a psychiatric hospital in tokyo精神疾病和临床相关的自杀的病人承认在东京一个精神病院.pdfVIP

Hayashi et al. BMC Psychiatry 2010, 10:109 /1471-244X/10/109 RESEARCH ARTICLE Open Access Psychiatric disorders and clinical correlates of suicidal patients admitted to a psychiatric hospital in Tokyo Naoki Hayashi1,2,3,4*, Miyabi Igarashi1†, Atsushi Imai1†, Yuka Osawa1†, Kaori Utsumi1†, Yoichi Ishikawa1†, Taro Tokunaga 1† 1† 1 5 6 , Kayo Ishimoto , Hirohiko Harima , Yoshitaka Tatebayashi , Naoki Kumagai , 7 8 1,2 Makoto Nozu , Hidetoki Ishii , Yuji Okazaki Abstract Background: Patients admitted to a psychiatric hospital with suicidal behavior (SB) are considered to be especially at high risk of suicide. However, the number of studies that have addressed this patient population remains insufficient compared to that of studies on suicidal patients in emergency or medical settings. The purpose of this study is to seek features of a sample of newly admitted suicidal psychiatric patients in a metropolitan area of Japan. Method: 155 suicidal patients consecutively admitted to a large psychiatric center during a 20-month period, admission styles of whom were mostly involuntary, were assessed using Structured Clinical Interviews for DSM-IV Axis I and II Disorders (SCID-I CV and SCID-II) and SB-related psychiatric measures. Associations of the psychiatric diagnoses and SB-related characteristics with gender and age were examined. Results: The common DSM-IV axis I diagnoses were affective disorders 62%, anxiety disorders 56% and substance- related disorders 38%. 56% of the subjects were diagnosed as having borderline PD, and 87% of them, at least one type of personality disorder (PD). SB methods used prior to admission were self-cutting 41%, overdosing 32%, se