《中国康复理论与实践》

《中国康复理论与实践》 ›› 2008, Vol. 14 ›› Issue (10): 970-971.

• 临床研究 • 上一篇    下一篇

危机干预预防精神疾病患者再次自杀的研究

林志雄; 房蔚霞; 邹晓波; 陈光敏; 彭晓东   

  1. 广东医学院附属医院精神心理科,广东湛江市 524001
  • 收稿日期:2008-03-25 出版日期:2008-10-01 发布日期:2008-10-01

Effect of Crisis Intervention on Prevention of Resuicide of Patients with Mental Disorder

LIN Zhi-xiong, FANG Wei-xia, ZOU Xiao-bo, et al   

  1. The Department of Psychology, the Affiliated Hospital of Guangdong Medical College, Zhanjiang 524001,Guangdong, China
  • Received:2008-03-25 Published:2008-10-01 Online:2008-10-01

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摘要： 目的评价危机干预预防有自杀观念、自杀未遂的精神疾病患者再次自杀的作用。方法将280例符合CCMD-3诊断标准、有自杀观念、自杀未遂的精神疾病患者随机分为干预组和对照组,各140例。对照组只在住院期间进行常规治疗和护理,出院后按原来的服药要求进行药物维持治疗。干预组在对照组治疗方法的基础上进行综合性危机干预治疗。入院时及出院后第6个月和第12个月进行评定。结果出院后6个月和12个月时,干预组患者的社会支持度、治疗依从性均明显高于对照组(P<0.01),而有自杀观念和再次自杀的人数均较对照组明显减少。结论危机干预能明显提高精神疾病患者的社会支持度和治疗依从性,消除自杀观念,预防有自杀观念、自杀未遂的患者再次自杀。

关键词: 危机干预, 精神疾病, 自杀

Abstract: Objective To evaluate the effect of crisis intervention on prevention of patients with mental disorder who had suicide ideas or attempt to commit resuicide.Methods 280 patients with mental disorder,holding suicidal ideas or attempting to suicide were randomly divided into the intervention group and control group with 140 cases in each group.The diagnosis of all patients was accorded with the CCMD-3 criteria.The cases of the control group only accepted routine treatments and cares in the hospital,and drug maintenance therapy after discharge.The cases of the intervention group accepted a comprehensive treatment of crisis intervention except the routine treatments.All cases were evaluated when they were admitted and 6 and 12 months after discharged.Results After discharged 6 months and 12 months,the social supports and treatments compliance of the intervention group were better than that of the control group(P<0.01),while suicidal ideas and the numbers of suicides were less than the control group significantly.Conclusion The crisis intervention can improve patients' social supporting and treatment compliance,eliminate their suicide ideas,and prevent the patients committing resuicide significantly.

Key words: crisis intervention, mental disorder, suicide