抑郁症患者自杀行为的相关危险因素分析

Correlative risk factors of suicidal behaviors in patients with depression

目的:研究抑郁症自杀行为的危险因素,为预防自杀提供依据。方法:按中国精神障碍分类与诊断标准第二版(CCMD-2-R)收集221例住院的抑郁症患者,采用多因素Logistic回归分析与抑郁症自杀行为有关的危险因素。结果:抑郁症自杀未遂71例(32.1%),自杀与绝望(相对危险度RR=9.312)、负性生活事件(RR=3.843)、自杀家族史(RR=3.625)、妄想(RR=3.567)及自责(RR=2.982)呈正相关(P均<0.01)。结论:绝望、负性生活事件、自杀家族史、妄想及自责是抑郁症患者自杀的危险因素。

AIM:To explore the risk factors of suicidal behavior in patients with depression,so as to provide evidence for preventing suicide. METHODS:Totally 221 inpatients who met the diagnostic criteria of the 2nd edition of Chinese Classification and Diagnostic Criteria of Mental Disorders(CCMD 2 R) were collected.The risk factors correlated with suicidal behavior of depression were analyzed with multiple Logistic regression. RESULTS:There were 71 cases(32.1%) who had attempted suicide.The suicide behaviors were positively related with hopelessness[relative risk(RR)=9.312],negative life events(RR=3.843),family history of suicide (RR=3.625),delusion(RR=3.567) and self blame(RR=2.982)(P< 0.01). CONCLUSION:Hopelessness, negative life events, family history of suicide,delusion and self blame are the risk factors of suicidal behaviors in patients with depression.