辽宁省重性抑郁障碍患者自杀意念和自杀意图调查

Analysis of Suicide Ideation and Intention among Patients with Major Depressive Disorder in Community of Liaoning Province

目的了解辽宁省社区重性抑郁障碍患者自杀意念和自杀意图的发生状况和分布特征,并分析与抑郁障碍严重程度的关系。方法 345名终生重性抑郁障碍患者来自辽宁省2004年城乡居民精神疾病调查,使用CIDI1.0问卷调查并根据DSMⅢ-R诊断编码将重性抑郁严重程度分为轻度、中度、重度和未能标明等4组。结果自杀意念和自杀意图发生率分别为43.48%和24.06%,重性抑郁障碍轻、中、重、及未能标明组自杀意念和自杀意图发生率分别为30.34%,39.62%,57.65%,44.92%和15.73%,16.98%,37.65%,23.73%。结论该省社区中重性抑郁障碍患者中约50%患者有过自杀意念,25%患者有过自杀意图,抑郁症严重程度越重,自杀意念和自杀意图发生率越高。

Objective To describe the level and characteristics of suicide ideation and intention among patients with major depressive disorder in community of Liaoning Province, and to analyze the relations of severity of major depressive disorders with suicide ideation and intention. Methods 345 major depressive disorder patients came from the epidemiological survey of mental disorders in urban and rural areas of Liaoning province. The patients were divided into four degree groups such as mild, moderate, heavy and non-classified group according to DSM Ⅲ -R. Results Among the 345 patients with major depressive disorders, 43.48% of them had suicide ideation and 24.06% had suicide intention, it showed a remarkable trend of escalation along with the severity of major depressive disorders. Conclusions Among the patients with the major depressive disorders in Liaoning province community, about 1/2 patients had the suicide ideation, 1/4 patient had the suicide intention, the formation rates was positive related with its severity.