| It is our country the Ministry of Health released figures show that in 2003, our country, about 250,000 people a year die from suicide, attempted suicide two million people [1]. Research has shown that there is poison for 40.5% of patients [5] or 42.8% [6] for duplicate. It will be conscious of the initial patients and repetitive ones of poison included in the study, analysis of two types of people in common psychological factors and differences, according to different psychological reactions to give the corresponding measures of psychological care, which is critical in the first aid of patients of taking poison. In that period, it is so important to concern about their psychological pain, provide first aid for poison at the disposal of patients that the successful rate of first aid will be increased and repetitive poison taking will be avoided. This study used different reasons from the patient started taking poison, but the initial poison from the poison that perspective and start to repeat that process in the emergency rescue of patients asked about the reasons for taking poison is contrary to ethics, privacy and involving patients. Patients do not want to open such as personal privacy, deliberately asked in the emergency treatment, will add to the psychological burden on patients, the rescue work even more inconsistent and can not achieve the purpose of psychological care. From this point of view, this study concentrates on analysis of patients with psychological problems, exploring the initial poison with poison duplicate, the provision of psychological care of patients with specific ways to assist the clinical work.Objective: In this study, through the application of SCL-90, SAS (self-rating anxiety scale), SDS (self-rating depression scale) on repeated poison patients with the initial measurement, comparison, analysis of two sets of psychological reactions in patients with common features and differences, we research psychological support and psychological care and the best means in the course of the initial first aid poison with poison repeated patients to provide the basis for psychological care measures for the two groups of patients.Subjects: In this study, patients of taking poison rescued in the emergency room were chosen in the Second Hospital of Jilin University from Jan, 2008 to Mar, 2009. A case-control study was used to establish the initial group and the repetitive group, 54 cases of patients taking poison in the initial group, 11 cases of male, 43 cases of female, with an average age (39.31±12.27), patients admitted to hospital within 24 hours of acute physiological and chronic health status score (10.56± 6.37); 46 cases of patients in the repetitive group, the patients have past attempted suicide by taking poison experienced of which eight cases of male, female 38 cases, with an average age (40.28±12.68), patients admitted to hospital within 24 hours of acute physiological and chronic health evaluation (11.20±7.38) , there were no significant differences in two groups of patients with gender, average age, APACHEⅡscore. Methods: In this study, the two groups of patients with thinking, emotion and behavior, interpersonal relationships, living habits were evaluated by SCL-90 such as assessment, analysis of the factor score and score situations. The severity of anxiety was compared between two groups of patients by implementation of SAS. SDS was used for measurement, evaluation of the extent of the two groups of patients with depression. The nurses of emergency department who have received uniform training, used a unified instruction to assist the patients or their families to complete the questionnaire. All data are SPSS15.0 software package for statistical analysis.Results: The initial group with SCL-90 total score, the factor, in addition to forcing factors, the other factor scores and the positive items were higher than the national norm, the difference was significant (P <0.05). The factor scores and the positive items of total repetitive patients, were higher than the national norm, the difference was significant (P <0.05). Comparison of two groups of patients, with the exception of hostility, positive items, the other differences were significant (P <0.05), which demonstrates the psychological problems of repetitive group are more severe than that of the initial group. Anxiety and depression score value of initial group are greater than that of the Chinese norm, which has statistically significant difference (P <0.05), anxiety and depression in the initial group are more serious than that of the general population. Anxiety and depression score of the repetitive group are higher than that of norm, there is statistical significance (P <0.05), the repetitive group with anxiety, depression is more serious than the general population. There is statistically significant (P <0.05) between two groups of patients with anxiety, depression, which shows that the repetitive group is more serious than the initial group in a week.Conclusion:1. The initial group and the repetitive group with mental health were significantly lower than the national norm, there is more psychological problems, that is, interpersonal sensitivity, depression, anxiety, hostility, terror, paranoia and so on. Comparison of the two groups, the repetitive group is more serious than the initial group with psychological problem. 2. Both the initial group and the repetitive group with anxiety and depression are more serious than the general population, the repetitive group with depression, anxiety is more serious than the initial group. 3. Provide psychological care of patients as follows: Respects the patient the personality, the sentiment, the ambition, protects the patient privacy, does not injure the patient self-respect, provides the psychological support for the patient.
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