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  • 1
    Electronic Resource
    Electronic Resource
    Springer
    Social psychiatry and psychiatric epidemiology 20 (1985), S. 145-151 
    ISSN: 1433-9285
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary Within the framework of a psychiatric liaison service attached to a medical emergency unit, initial assessment, immediate crisis intervention and referral to subsequent psychiatric after-care were provided for parasuicide patients. Of a total of 485 such cases admitted in 1981, 7% were discharged without a treatment recommendation, 74% were referred to psychiatric out-patient care and 18% were admitted to psychiatric hospitals. The characteristics of these three categories of patients were compared in order to examine the criteria of treatment disposal. The characteristics found to be associated with a recommendation for psychiatric treatment included old age, previous suicidal behaviour, previous or current psychiatric treatment and a strong intent to die, as inferred from the nature and circumstances of the suicidal behaviour. Sex, addictive behaviour and severity of intoxication were of minor importance in this respect. The treatment disposition revealed a liberal interpretation of the requirements for psychiatric treatment. As regards the outcome of this strategy of care, the frequency of repeated parasuicidal behaviour, though not of completed suicide, was lower than in comparable studies reported in the literature. The implications of these findings for future evaluative research are discussed.
    Type of Medium: Electronic Resource
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  • 2
    Electronic Resource
    Electronic Resource
    Springer
    European archives of psychiatry and clinical neuroscience 232 (1982), S. 427-438 
    ISSN: 1433-8491
    Keywords: Attempted suicide ; Singular and repeated acts ; Comparative study
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Zusammenfassung Im Hinblick auf soziodemographische, biographische und psychopathologische Variablen wurden 169 Patienten nach erstmaligem und 109 Patienten nach wiederholtem Suizidversuch miteinander verglichen. Die erheblichen, zum Teil statistisch hochsignifikanten Unterschiede kennzeichnen die Patienten mit mehrfachen Selbstmordversuchen als einen Personenkreis mit häufigeren Verlust- oder Trennungserlebnissen in Kindheit und Jugend sowie mit konfliktreicheren und instabileren sozialen Beziehungen im privaten wie im beruflichen Bereich. Diese Patienten kamen häufiger als die Vergleichsgruppe in psychiatrische und psychotherapeutische Behandlung, wurden häufiger als persönlichkeitsgestört oder suchtkrank diagnostiziert und prognostisch ungünstiger beurteilt. Die Übereinstimmung der Ergebnisse mit der vorliegenden Literatur, Fragen der typologischen Interpretation und versorgungspraktische Konsequenzen werden diskutiert.
    Notes: Summary After their first suicide attempts 169 patients were compared to 109 repeated suicide attempters regarding sociodemographical, biographical, and psychopathological variables. The differences between the groups characterize the repeaters as persons with more broken-home situations in childhood and youth and with more tension and instability in private and occupational relationships. These patients received more psychiatric or psychotherapeutic treatment, were more often classified as suffering from a personality disorder or addiction and their prognosis was estimated less favourable. These findings are consistent with the results of other investigations. Questions of typological interpretation and practical consequences are discussed.
    Type of Medium: Electronic Resource
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  • 3
    ISSN: 1432-119X
    Source: Springer Online Journal Archives 1860-2000
    Topics: Biology , Medicine
    Notes: Summary Two hydrolytically inactive proteins, one having common antigenic determinants with aminopeptidase and the other with alkaline phosphatase, have been localised in the apical cytoplasm of crypt cells of small intestine and in the cytoplasm of proximal convoluted tubules. In addition, the two proteins are also differently heat labil. Although they could not be detected with mere histochemical stain methods, they were detected by the immunofluorescence sandwich technique using specific antibody directed against either of the solubilised enzymes. The findings were confirmed using the previously described immunohistochemical method (Wachsmuth, 1973). The cellular and subcellular localisation implies that these two proteins are precursors of the hydrolytically active brush border membrane enzymes.
    Type of Medium: Electronic Resource
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  • 4
    Electronic Resource
    Electronic Resource
    Springer
    European archives of psychiatry and clinical neuroscience 233 (1983), S. 151-166 
    ISSN: 1433-8491
    Keywords: Suicide attempters ; “seriousness” of suicide attempt ; Degree of intoxication ; Death wish ; Aftercare ; Patienten nach Suizidversuch ; „Ernsthaftigkeit“ eines Suizidversuchs ; Vergiftungsgrad ; Sterbeintention ; Nachbetreuung
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Zusammenfassung Für eine Stichprobe von 295 Patienten nach einem Suizidversuch — in 94% durch Intoxikation — zeigte das Merkmal einer schweren, ohne ärztliche Hilfe tödlich verlaufenden Vergiftung (15,3% der Gesamtstichprobe) signifikante Zusammenhänge zu Charakteristika, die in der Literatur bei Suizidenten gehäuft gefunden wurden. Die Einschätzung eines starken Sterbewunsches der Patienten (bei 47,3%) durch die Untersucher zeigte signifikante Zusammenhänge zu weitgehend den gleichen Merkmalen der untersuchten Population. Eine schwere Vergiftung sowie eine als hoch eingeschätzte Sterbeintention wiesen deutliche Zusammenhänge zu der während des stationären Aufenthaltes erfolgten und für die anschließende Weiterbehandlung vorgeschlagene Betreuung auf.
    Notes: Summary In 15.3% of 295 hospitalized suicide attempters (94% with intoxication) severe intoxication that would have had a lethal outcome without medical treatment was significantly associated with previously described factors characterizing persons who committed suicide. A strong death wish (47.3%), as judged by physicians, was highly associated with almost the same factors. A high degree of physical harm and a firm intention to die correlated significantly with the intensity of care during hospitalization and after discharge from the emergency unit.
    Type of Medium: Electronic Resource
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