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

Content Provider	Semantic Scholar
Author	Hayashi, Naoki Igarashi, Miyabi Imai, Atsushi Osawa, Yuka Utsumi, Kaori Ishikawa, Yoichi Tokunaga, Taro Ishimoto, Kayo Harima, Hirohiko Tatebayashi, Yoshitaka Kumagai, Norimoto Nozu, Makoto Ishii, Hidetoki Okazaki, Yuji
Copyright Year	2010
Abstract	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.
Starting Page	109
Ending Page	109
Page Count	1
File Format	PDF HTM / HTML
PubMed reference number	21144041v1
DOI	10.1186/1471-244x-10-109
Journal	BMC psychiatry
Volume Number	10
Alternate Webpage(s)	https://www.safetylit.org/citations/ild_request_form.php?article_id=citjournalarticle_231175_18
Alternate Webpage(s)	http://download-redirector.springer.com/redirect?contentType=pdf&ddsId=art:10.1186/1471-244X-10-109&originUrl=http://bmcpsychiatry.biomedcentral.com/article/10.1186/1471-244X-10-109
Alternate Webpage(s)	https://doi.org/10.1186/1471-244X-10-109
Language	English
Access Restriction	Open
Subject Keyword	Antimony Anxiety Disorders Cessation of life DSM-IV Death by strangulation Depressive disorder Drug abuse Emergency medical service Hospital admission Mental disorders Mood Disorders Patients Personality Disorders REM Sleep Behavior Disorder SCID Mice Substance-Related Disorders nervous system disorder
Content Type	Text
Resource Type	Article