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目的:探讨具有凶杀行为的精神疾病患者自杀的危险因素。方法:调查1986年至2006年具有凶杀行为的精神疾病患者院内自杀身亡31例,采用多因素Logistic回归分析自杀行为危险因素。结果:具有凶杀行为精神疾病患者自杀男:女=3.43∶1,自杀行为的发生与家族自杀史、悔恨、绝望、心理社会因素及杀害对象有关。结论:悔恨、绝望、心理社会因素等是具有凶杀行为精神疾病患者自杀的危险因素,对于有凶杀行为的精神疾病患者自杀行为应加以干预。
Objective: To explore the risk factors for suicide in patients with mental illness with homicide. Methods: Thirty-one inpatients with mental illness who had homicide from 1986 to 2006 were investigated. Multivariate Logistic regression was used to analyze the risk factors for suicide behavior. Results: Suicide man: female = 3.43:1 in suicide with mental illness. The incidence of suicide was related to the history of suicide, remorse, despair, psychosocial factors and target of killing. Conclusion: Repentance, despair, psychosocial factors are risk factors for suicide in patients with mental illness resulting from homicide and should be intervened in suicide for mental illness with homicide.