A study of the epidemiology and risk factors for attempted suicide and suicide among non-psychiatric inpatients in 48 general hospitals in Hubei province, China, 2015–2017

入射(几何) 医学 自杀预防 流行病学 精神科 伤害预防 毒物控制 精神病院 职业安全与健康 自杀方法 急诊医学 自杀率 内科学 光学 物理 病理
作者
Qing Wan,Xiaoping Ding,Deying Hu,Yongtao Han,Shujie Wang,Yilan Liu,Caizhi Wu,Lulu Huang,Ruifei Lu,Kuang Xu
出处
期刊:General Hospital Psychiatry [Elsevier BV]
卷期号:63: 21-29 被引量:10
标识
DOI:10.1016/j.genhosppsych.2019.06.003
摘要

This was a large-scale epidemiological survey of non-psychiatric inpatient attempted suicides/suicides in general hospitals in China, allowing a detailed quantitative analysis of the characteristics of inpatient attempted suicides/suicides. The incidence, inpatient demographic and behavioral characteristics, and risk factors for attempted suicide/suicide were explored through a survey of non-psychiatric inpatients admitted to 48 general hospitals, between 2015 and 2017. A Vector Error Correction model was established to explore hospital variables as predictors of inpatient attempted suicide/suicide using the annual numbers of inpatient attempted suicides/suicides, undergraduate or above nurses per total number of nurses, and number of beds per nurse in a tertiary general hospital, between 1998 and 2017. The incidence of attempted suicide/suicide among inpatients in general hospitals was 3.26/100,000 admissions. 180 inpatient attempted suicides/suicides were reported, which were associated with particular inpatient demographic and behavioral characteristics and a specific temporal and spatial distribution. Incidence of attempted suicide/suicide was higher in inpatients aged ≥60 years, with junior high school or lower level of education, in secondary general hospitals, suffering from malignant tumors or chronic diseases. Number of beds/nurse had a significant impact on the incidence of inpatient attempted suicide/suicide. We recommend that general hospital administrators establish a targeted approach to inpatient suicide prevention efforts in their hospitals.
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