Suicide risk assessment: A review of risk factors for suicide in 100 patients who made severe suicide attempts - Evaluation of suicide risk in a time of managed care

被引:223
作者
Hall, RCW
Platt, DE
Hall, RCW
机构
[1] Univ Florida, Gainesville, FL USA
[2] Florida Hosp Med Ctr, Ctr Psychiat, Psychiat Programs, Orlando, FL USA
[3] Florida Hosp Med Ctr, Ctr Psychiat, Psychiat Emergency Serv, Orlando, FL USA
[4] Florida Hosp Med Ctr, Ctr Psychiat, Off Med Director, Orlando, FL USA
[5] Johns Hopkins Univ, Baltimore, MD USA
关键词
D O I
10.1016/S0033-3182(99)71267-3
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
A study of 100 patients who made a severe suicide attempt suggested that the managed care criteria often applied for approving admission to hospitals for potentially suicidal patients were not, in fact, predictive of features seen in patients who actually made such attempts. Severe anxiety, panic attacks, a depressed mood, a diagnosis of major affective disorder, recent loss of an interpersonal relationship, recent abuse of alcohol or illicit substances coupled with feelings of hopelessness, helplessness, worthlessness, global or partial insomnia, anhedonia, inability to maintain a job, and the recent onset of impulsive behavior were excellent predictors of suicidal behavior. The presence of a specific suicide plan or a suicide note were not. Patients with managed care were overrepresented by 2.45% in the study.
引用
收藏
页码:18 / 27
页数:10
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