ISSN:0001-690X    

DOI:10.1111/j.1600-0447.1987.tb05615.x

出版商:Blackwell Publishing Ltd    

年代:1987

数据来源: WILEY

摘要:

ABSTRACT:Evidence from follow‐up studies concerned with the mortality of epilepsy suggests the suicide rate is increased. The risk of suicide seems to be higher from temporal lobe epilepsy, for epilepsy with a greater degree of handicap and in the early years of the conditio

ISSN:0001-690X    

DOI:10.1111/j.1600-0447.1987.tb05616.x

出版商:Blackwell Publishing Ltd    

年代:1987

数据来源: WILEY

摘要:

ABSTRACT:Four hundred and twenty‐two adolescent suicide attempts were examined. The intent to die was weaker than in adult persons. Within lethality no difference was found. Adolescents came mostly from the lowest social classes and their educational status was low. Their mental health was often unsatisfactory. The psychiatric treatment, which was arranged after the suicide attempt, was not more intensive than that arranged for adult suicide attempter

ISSN:0001-690X    

DOI:10.1111/j.1600-0447.1987.tb05617.x

出版商:Blackwell Publishing Ltd    

年代:1987

数据来源: WILEY

摘要:

ABSTRACT:In order to evaluate a possible predictive value for committing suicide of a reduced thyrotropin‐stimulating hormone (TSH) response to thyrotropin‐releasing hormone (TRH) stimulation we studied 306 depressed patients. The patients were followed for a mean of 5.8 (SD 2.9) years. During this period, 18 patients committed suicide. The TSH response to TRH stimulation in these 18 patients who committed suicide was lower than in the patients who did not commit suicide. The difference is not statistically significant. It is concluded that the TSH response to TRH cannot be said to identify the patients who later commit suic

ISSN:0001-690X    

DOI:10.1111/j.1600-0447.1987.tb05618.x

出版商:Blackwell Publishing Ltd    

年代:1987

数据来源: WILEY

摘要:

ABSTRACT:After a short survey of the relevant literature, the authors discuss the significance of delusional depression symptoms for suicidality, whereby they do not regard such symptoms alone as a sufficient condition for classifying a delusional patient as suicidal. In a comparison of delusional depressed patients with a non‐delusional control group (matched pairs), the former were adjudged to be significantly less suicidal than the control group and did not differ from the control group in regard to suicide frequenc

ISSN:0001-690X    

DOI:10.1111/j.1600-0447.1987.tb05619.x

出版商:Blackwell Publishing Ltd    

年代:1987

数据来源: WILEY

摘要:

ABSTRACT:The study was undertaken to test whether obstetric procedures are of importance for eventual adult behavior of the newborn, as ecological data from the United States seem to indicate. Birth record data were gathered for 412 forensic victims comprising suicides, alcoholics and drug addicts born in Stockholm after 1940, and who died there in 1978–1984. The births of the victims were unevenly distributed among six hospitals. Comparison with 2,901 controls, and mutual comparison of categories, showed that suicides involving asphyxiation were closely associated with asphyxia at birth, suicides by violent mechanical means were associated with mechanical birth trauma and drug addiction was associated with opiate and/or barbiturate administration to mothers during labor. Irrespective of the mechanism transferring the birth trauma to adulthood—which might be analogous to imprinting—the results show that obstetric procedures should be carefully evaluated and possibly modified to prevent eventual self‐destructive b

ISSN:0001-690X    

DOI:10.1111/j.1600-0447.1987.tb05620.x

出版商:Blackwell Publishing Ltd    

年代:1987

数据来源: WILEY

摘要:

ABSTRACT:Twelve hundred and six psychiatric in‐patients, 506 men and 700 women, with severe depression/melancholia were rated at discharge with a multidimensional diagnostic schedule during 1956–1969. The sample was followed up until December 31, 1983. A total of 476 deaths were recorded including 103 suicides. Suicides and to a small proportion diseases of the nervous system constituted the total excess mortality in unipolar disorders. In bipolar disorders there was also an increased mortality from physical disorders, while the suicide frequency was lower (9% versus 4%). Male suicides had higher initial ratings for the items brittle, sensitive, maritial problems, acute onset and lower ratings for psychomotor retardation than other men. Female suicides had a higher frequency of attempted suicides than other women. Acute onset and attempted suicide were associated with suicides early in the course contrary to the other differentiating items. The suicide frequency was similar in admissions during 1956–1962 compared with those during 1963

ISSN:0001-690X    

DOI:10.1111/j.1600-0447.1987.tb05621.x

出版商:Blackwell Publishing Ltd    

年代:1987

数据来源: WILEY

摘要:

ABSTRACT:In a previous paper we reported prospective ratings for 88 alcoholic suicides. At the inital admission they had more often signs of peptic ulcer, depression, dysphoria and brittleness than other alcoholics. In 55 of these alcoholics an autopsy was performed at the Department of Forensic Medicine, University Hopital, Lund. In 37 cases the blood alcohol level was measured (at time of death). Alcoholics with brittleness had more often blood alcohol levels over 0.1% than others, and alcoholics with dysphoria more often negative tests even if the suicide generally was associated with previous drinking. Concerning the blood alcohol level alcoholics with peptic ulcer did not differ from the others. Alcoholics with initial depression had more often previous suicide attempts. Twenty (36%) of the alcoholics had experienced a personal loss during the year preceding the suicide. The possible implications of the findings for suicide prevention strategies is discussed.

ISSN:0001-690X    

DOI:10.1111/j.1600-0447.1987.tb05622.x

出版商:Blackwell Publishing Ltd    

年代:1987

数据来源: WILEY

摘要:

ABSTRACT:Four hundred and six consecutive suicide attempts made by 15–19 year‐old adolescents in 1973–1982 were examined. Two hundred and twenty‐six cases were first, 180 repeated suicide attempts. Repeaters came from poorer social situations and less well integrated families than first‐timers. Repeaters had many adaptating problems typical of personality disorders and had previously been in psychiatric treatment. Their level of adaptive functioning (GAS) and overall functioning (DSM III: s axis V) were poorer than within first‐timers. They were not psychotic more often than first‐timers and did not make more difficult suicide attempts. Their psychiatric after‐care was more intensive and prognosis with regard to subsequent suicide was poorer than within first‐timers. At the end of follow‐up time (approx. 5 years) 1% of first‐timers and 4% of repeaters had committed suicide. Observed‐expected ratio for first‐timers was 0.

ISSN:0001-690X    

DOI:10.1111/j.1600-0447.1987.tb05623.x

出版商:Blackwell Publishing Ltd    

年代:1987

数据来源: WILEY

摘要:

ABSTRACT:interviews were conducted with 19 alcohol and drug abuse patients, consecutively admitted to an intensive care unit owing to attempted suicide by intoxication, with their 33 significant others and with care personnel, concerning the patients' contacts with psychiatric, somatic and social care institutions before the suicide attempt. All the patients contacted public care institutions between 1 and 6 months before the suicide attempt in question and 12 patients between 1 and 7 days before. Fifteen patients had contact with psychiatric institutions. The personnel not infrequently failed to explore the incidence of suicidal thoughts. Major difficulties were also encountered in securing patients' co‐operation in the treatment when suicidal risk was judged to be present. Fifteen patients had contact with somatic institutions. The suicidal risks were seldom detected, because they were thought to be connected with depression, which was masked and therefore often overlooked. Twelve patients had contact with social institutions, the personnel of which generally avoided discussing the patients' suicidal problems. Significant others sought help for 12 out of the 17 patients, but contacts were usually fruitless. The reasons for treatment difficulties are discussed, with reference to the patients' individual problems such as their poor self‐esteem and pronounced needs to compensate for it, and the personnel's difficulties in tackling the patients' compensatory defences and dependency ne

ISSN:0001-690X    

DOI:10.1111/j.1600-0447.1987.tb05624.x

出版商:Blackwell Publishing Ltd    

年代:1987

数据来源: WILEY