关键词: 自杀, 住院患者, 综合医院, 流行病学, 护理管理研究, 患者安全

Abstract:

Objective To understand the characteristics and influencing factors of suicidal behaviors of non-psychiatric inpatients in general hospitals in Hubei Province.Methods Using stratified-typical-target sampling method,50 general hospitals in Hubei Province were selected according to the ratio of 1∶1. All adverse event reporting system databases received between January 1st,2015,and December 31st,2017 were collected and analyzed to identify any events that involved suicide or suicide attempts occurred in the above hospitals.Results Totally 169 cases of non-psychiatric inpatients suicides were reported in 45 general hospitals. The incidence of inpatients suicidal behaviors in general hospitals was 3.48/100,000 admissions,the incidence of inpatients suicidal behaviors in secondary hospitals was 1.10 times higher than that in tertiary hospitals. Inpatients whose age≥60,with primary or junior high school education,unemployed or peasants,suffering from malignant tumors or chronic diseases,were more likely to commit suicide. Suicidal behaviors in hospitalized patients were more common in the spring,at 00：00-07：59 and within 1 week,mainly in the ward. The main suicide way was jumping from the buildings. The suicide completion rate was as high as 49.1%. Eleven hospitals had serious medical disputes due to suicide. The causes of suicide were mainly physical illness,family relationship,and family economy.Conclusion The incidence of inpatients suicidal behaviors in general hospitals is high. Administrators should provide training for healthcare providers on characteristics and influencing factors of inpatients suicidal behaviors,to improve focus and attention of healthcare providers towards suicide among inpatients.

Key words: Suicide, Inpatients, General Hospital, Epidemiology, Nursing Administration Research, Patient Safety