Psychiatric disorders and clinical correlates of suicidal patients admitted to a psychiatric hospital in Tokyo

BMC Psychiatry

Research Article

Taro Tokunaga¹  Hirohiko Harima¹  Kayo Ishimoto¹  Kaori Utsumi¹  Yuka Osawa¹  Miyabi Igarashi¹  Yoichi Ishikawa¹  Atsushi Imai¹  Yuji Okazaki²  Naoki Hayashi³  Naoki Kumagai⁴  Hidetoki Ishii⁵  Yoshitaka Tatebayashi⁶  Makoto Nozu⁷ 

[1] Department of Psychiatry, Tokyo Metropolitan Matsuzawa Hospital, Tokyo, Japan;Department of Psychiatry, Tokyo Metropolitan Matsuzawa Hospital, Tokyo, Japan;Schizophrenia Research Team, Tokyo Institute of Psychiatry, Tokyo, Japan;Department of Psychiatry, Tokyo Metropolitan Matsuzawa Hospital, Tokyo, Japan;Schizophrenia Research Team, Tokyo Institute of Psychiatry, Tokyo, Japan;Faculty of Medicine, Tokyo Medical and Dental University, Tokyo, Japan;Department of Psychogeriatrics, National Institute of Mental Health, National Center of Neurology and Psychiatry, Tokyo, Japan;Disabled Persons Programs Division, Bureau of Social Welfare and Public Health, Tokyo Metropolitan Government, Tokyo, Japan;Graduate School of Education and Human Development, Nagoya University, Nagoya, Japan;Mood Disorders Research Team, Tokyo Institute of Psychiatry, Tokyo, Japan;Tokyo Metropolitan Tama Comprehensive Center for Mental Health and Welfare, Tokyo, Japan;

关键词: Anxiety Disorder;    Suicide Attempt;    Borderline Personality Disorder;    Personality Disorder;    Suicidal Behavior;   

DOI  :  10.1186/1471-244X-10-109

 received in 2010-05-22, accepted in 2010-12-13,  发布年份 2010

来源: Springer

【 摘 要 】

BackgroundPatients 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.Method155 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.ResultsThe 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%, self-strangulation 15%, jumping from a height 12% and attempting traffic death 10%, the first two of which were frequent among young females. The median (range) of the total number of SBs in the lifetime history was 7 (1-141). Severity of depressive symptomatology, suicidal intent and other symptoms, proportions of the subjects who reported SB-preceding life events and life problems, and childhood and adolescent abuse were comparable to those of the previous studies conducted in medical or emergency service settings. Gender and age-relevant life-problems and life events were identified.ConclusionsFeatures of the studied sample were the high prevalence of affective disorders, anxiety disorders and borderline PD, a variety of SB methods used prior to admission and frequent SB repetition in the lifetime history. Gender and age appeared to have an influence on SB method selection and SB-preceding processes. The findings have important implications for assessment and treatment of psychiatric suicidal patients.

【 授权许可】

CC BY   
© Hayashi et al; licensee BioMed Central Ltd. 2010