公寓老年人中抑郁症候群与自杀意念的关联研究

Relationship between depressive symptoms and suicide ideation in elderly people living in apartments

目的:探讨公寓老年人群中抑郁症候群和自杀意念的关系。方法:采用老年抑郁量表(GDS)和自编自杀意念调查问卷对哈尔滨市2所老年公寓的221名老年人进行问卷调查。运用Logistic回归和Spearman相关进行数据分析。结果:抑郁症候群与是否发生自杀意念相关(r=0.437,P<0.0001),与自杀意念等级也相关(r=0.469,P=0.01)。多因素Logistic回归分析表明,影响自杀意念发生的抑郁症状有:放弃了许多活动与兴趣(P=0.01,OR=4.19)、常感到孤立无援(P=0.00,OR=3.17)、觉得未来有希望(P=0.00,OR=0.19)、觉得现在活着很惬意(P=0.03,OR=0.31)。结论:公寓老年人群自杀意念发生和加重与抑郁症候群关系较为密切。

Objective：To explore the relationship between depressive symptoms and suicide ideation in elderly residents living in apartments. Method：221 elderly people living in apartments in Harbin were re- viewed and assessed using GDS （ the geriatric depression scale） and the suicide ideation inventory. The data was analyzed by Logistic regression and Spearman correlation. Results：Depressive symptoms were correlated with occurrence （ r = 0. 437 ,P 〈 0.001 ） and graduation （ r = 0. 469, P = 0.01 ） of suicide ideation. Multivariate Lo- gistic regression indicated that giving up many activities/interests （P = 0. 01, OR = 4.19）, often felt lonely （ P = 0. 00 ,OR =3.17） ,felt hopeful in the future （P =0.00 ,OR =0.19） and felt satisfied with current life （P = 0. 03, OR = 0.31 ） were the independent influential factors for occurrence of suicide ideation. Conclusion： Occurrence and aggravation of suicide ideation is associated with depressive symptoms in elderly residents living in apartments.