Completed suicide in medical/surgical patients: Who is at risk?

被引：29
作者：
Bostwick J.M. [1 ]
Rackley S.J. [1 ]
机构：
[1] Mayo Clinic, Department of Psychiatry, Rochester, MN 55905
来源：
Current Psychiatry Reports | 2007年 / 9卷 / 3期
关键词：
Suicidal Ideation; Suicide Attempt; Medical Illness; Suicide Prevention; Borderline Personality Disorder;
D O I：
10.1007/s11920-007-0026-6
中图分类号：
学科分类号：
摘要：
Factors-contributing to patients killing themselves while admitted Jo general hospital medical/surgical (med/surg) units have not been well described. These rare yet devastating suicides appear to have characteristics distinguishing them from suicides in psychiatric inpatients. This article emphasizes the importance of both agitation and readily available lethal means in suicides that are almost invariably impulsive. It also emphasizes how traditional risk factors such as past history of psychiatric illness, substance abuse, or suicidality typically are absent imthis population, as are present depression and known suicidality. Caregivers seeking to prevent suicide in the med/surg environment therefore must appreciate the potential lethality of acute psychic and motoric agitation. Close surveillance of agitated patients, with interventions to calm them and secure their surroundings, will assure safety and save lives. Copyright © 2007 by Current Medicine Group LLC.
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页码：242 / 246
页数：4
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