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目的了解急诊科自杀未遂者流行病学情况,为预防自杀和危机干预提供科学依据。方法采用描述性流行病学方法,分析上海市浦东新区公利医院急诊科153例自杀未遂者资料.结果急诊科自杀未遂者女性大大高于男性,男女比例为1∶4.6,以青少年居多;自杀未遂者以初中文化水平居多;自杀未遂者的社会支持系统以家庭支持为主;自杀方式以服药居多;绝大部分自杀未遂患者未曾求助心理咨询。结论全社会应加强对青少年的心理健康教育,重视20～30岁的青年群体的心理健康状况,在文化水平不高的农村地区普及心理咨询知识,加强对于出售镇静催眠药和农药的控制。综合医院急诊科在对自杀未遂者进行危机干预的过程中起着相当重要的作用。
Objective To understand the epidemiology of attempted suicide in emergency department and provide a scientific basis for preventing suicide and crisis intervention. Methods Descriptive epidemiological methods were used to analyze the data of 153 suicide attempts in Emergency Department of Gongli Hospital, Pudong New District, Shanghai. Results The number of suicides in emergency department was significantly higher than that in men, the ratio of male to female was 1: 4.6, Most of them had junior high school education level. The social support system of unsuccessful suicide was dominated by family support. The way of suicide was mostly taking medication. Most unsuccessful suicide patients did not seek psychological counseling. Conclusion The whole society should strengthen mental health education for adolescents, pay attention to the mental health status of young people aged 20-30, popularize psychological counseling knowledge in rural areas with low cultural level, and strengthen the control over selling sedatives, hypnotics and pesticides. The emergency department of General Hospital plays an important role in the crisis intervention of attempted suicide.