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自殺と統合失調症の関連性について : 看護師による、統合失調症患者への自殺予防ケア

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Relationship between schizophrenia and suicide

- Suicide prevention care by nurses for patients with schizophrenia -

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1.Department of Nursing Email: s-sakuraba @-med.ac.jp

Received Dec 20th 2013; revised July 20th,2013;accepted Auguat 15th 2013

ABSTRACT

Aim: In patients with schizophrenia, we reviewed examples of outcomes of attempted suicides to consider effective suicide prevention measures by clarifying the causes of the relationship between suicide and environment.

Background: Rates of hospitalization are overwhelmingly high among patients with schizophrenia who receive medical examination at a mental hospital. However, in psychiatric care, suitable medical aid is rarely provided to patients who attempted suicide. Suicide prevention represents one of important issues in psychiatric care.

Methods: We surveyed an electronic database in Japanese, limiting the search to articles published between 2006 and 2010.

Results and Conclusion: One hundred and twelve original articles published in a 5-year period between 2006 and 2010 nt study suggested that nurses should fully understand the patient condition and provide care by considering a relationship with the patient.

Key words: ,

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1. 22 2010 [ 1] 21 32, 845 596 1. 8% 1998 3 18 10 28 2008 [ 2] 2009 [ 3] 2010 [ 4] 22 2010 [ 5] 6, 490 1, 368 40 1, 368 627 ( 2009) [ 6] 4. 9 13 8 Bertol ote JM 2007 [ 7] WHO

psychol ogi cal autopsy 14

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Web Ver. 4 22 11 01 21 2006 1 2010 10 5 112 12

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2 1. 2 1. 1) 24 10 7 A E ( 2009) [ 6] 2) 24 3 B D 2 2010 [ 8] 3) 24 10 A B 1992 [ 9] Fal l oon 1978 [ 10] 1 38% ( 2009) [ 6] F G

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40~50 2. 1) 24 10 A G ( 2009) [ 6] 2) 24 9 B C 3 2010 [ 8] 3) A B 2010 [ 11]

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SOS Harkavy- Fri edman

2003 [ 12]

Rutz, W 1989 [ 13]

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3) 24 10 Jones, J. S. 1994 [ 14] 2 1) 1992 2009 [ 15] 10 1 3)

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1. 22 www8.cao.go.jp/jisatsutaisaku/whitepaper/w-2010/ pd f 2010 2. 2008 3. 11 Vol . 51 No. 11 2009 4. 2010 5. 22 www.npa.go.jp/safetylife/seianki/H22 2010 6. , , , , , ( 0919- 1372) 18 1 Page34- 51 2009 . 7

7. J.M.-Bertolote Life-and-death questions Mental and Behavioural Disorders in the Department of Men-tal Health at the WHO.

www.zoominfo.com/p/ 2007. 18 April 8.

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9.

( 0371- 1900) 41 2 Page379- 380 1992 . 2 10. Falloon I et al. The social outcome of patients in

a trial of long-term continuation therapy in schizo-phrenia: pimozide vs. fluphenazine.

Watt DC, Shepherd M Psychol Med. 1978 . May; 8( 2) : 265- 74.

11.

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( 0912- 1862) 25 2 Page143- 152. 2010 . 2 12. Harkavy-Friedman JM, Kimhy D, Nelson EA,

Venarde D F, Malaspina D, Mann JJ. J Clin Psychiatry.Suicide attempts in schizophrenia: the role of command auditory hallucinations for suicide.2003 Aug;64(8):871-4.

13 W. Rutz, L. von Knorring, J. Walinder Frequency of suicide on Gotland after systematic postgraduate edu-cation of general practitioners. Acta Psychiatrica Scandinavica Volume 80, Issue 2, pages 151 154, August 1989

14. J. S. Jones D. J. Stein1, B. Stanley1,J. R. Guido, R. Winchel M. Stanley Negative and depressive symptoms in suicidal schizophren-ics.Acta Psychiatrica Scandinavica Volume 89, Issue 2, pages 81 87, February 1994

15. 111 2009 16 63. ( 11) 1995 17. 63. ( 11) 1995

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