Suicide, Ethnicity and Psychiatric In-Patient Care:A Case-Control Study
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- 作者：Johansson ; Leena Maria ; Johansson ; Sven Erik ; Bergman ; Bo ; Sundquist ; Jan
- 关键词：suicide ; psychiatric in ; patient care ; ethnicity
- 刊名：Archives of Suicide Research
- 出版年：1997
- 出版时间：1997
- 年：1997
- 卷：3
- 期：4
- 页码：253-269
- 全文大小：117 KB
文摘
This study compares patients with controls concerning sociodemographicvariables and describes Swedish and foreign-born patients concerningpsychiatric disorders, suicide risk, history of attempted suicide, suicidemethod, number of parasuicides and time from discharge to suicide. It isbased on 59 psychiatric in-patients who had committed suicide, of whom 46were native Swedes and 13 foreign-born, and on a random sample of 630controls living in the same area of Stockholm, Sweden. There was an excesssuicide risk for being foreign-born with a crude odds ratio of 1.94 (CI = 1.01 – 3.76) in an unconditional logisticregression. In the final model, single living, having a somatic disease andbeing unemployed were major risk factors for committing suicide. There wereno differences between Swedes and those of foreign birth concerningdistribution of certain background variables (i.e., suicide risk, diagnosesand quality of care assessed via clinical records). Only 39% of thepatients were classified as high risk by the doctor-in-charge at admission.This is significantly lower (p < 0.001) than theretrospectively rated risk. Planned aftercare was considered as satisfactoryfor about half of the patients. About two-thirds of the patients did notparticipate in aftercare or almost immediately discontinued the contact.More attention is necessary in order to motivate the patients to take partin aftercare and there is a need for better co-operation between hospitaland out-patient clinics.