Abstract

The study explored how common non-disclosure of suicidal ideation is in a sample of adult psychiatric inpatients (N = 171) plus associated patient characteristics. A large percentage (51.5%) withheld some information on suicidal ideation during admission. In multivariable analyses, correlates of non-disclosure included a diagnosis of emotionally unstable personality disorder, low satisfaction with stay, and symptoms of the suicide crisis syndrome. In univariate analyses, therapists’ emotional response to the patient was also a correlate. Findings indicate that among acute psychiatric inpatients, non-disclosure of suicidal ideation is quite common, requiring awareness from clinicians relying on this parameter in suicide risk assessments.

摘要

该研究探讨了成人精神病住院患者（N  = 171）以及相关患者特征样本中自杀意念不公开的常见程度。很大一部分人（51.5%）在入院期间隐瞒了一些关于自杀意念的信息。在多变量分析中，未披露的相关因素包括情绪不稳定型人格障碍的诊断、对住宿的低满意度和自杀危机综合征的症状。在单变量分析中，治疗师对患者的情绪反应也是相关的。研究结果表明，在急性精神病住院患者中，不披露自杀意念是很常见的，需要临床医生在自杀风险评估中依赖这一参数的认识。