长期住院精神分裂症患者伴自杀意念的临床分析

Clinical Analysis on Suicideal Ideation among Long-term Schizophrenic Inpatients

目的：分析长期住院精神分裂症患者伴自杀意念的临床特征，并筛选相关影响因素。方法：依据有无自杀意念，将93名长期住院精神分裂症患者分成自杀意念组（N＝32）和无自杀意念组（N＝61），比较2组人口社会学和临床特征的组间差异，并对自杀意念的影响因素进行Logistic回归分析。结果：自杀意念组的可支配月收入、共病躯体疾病、汉密尔顿抑郁－17项版本量表（ HAMD－17）、精神分裂症病人生活质量量表（ SQLS）和家庭关怀度指数量表（ APGAR）评分明显高于无自杀意念组（P＜0．05）。回归分析显示， HAMD－17总分（OR＝0．897，P＝0．005）、 SQLS总分（OR＝0．949，P＝0．030）和APGAR总分（OR＝1．411，P＝0．001）与自杀意念独立相关。结论：抑郁症状、生活质量和家庭功能是长期住院精神分裂症患者自杀意念的影响因素。

Objective：To explore clinical features and relevant factors of suicidal ideation among long-term schizophrenic inpatients. Methods：93 inpatients were divided into the suicidal ideation （n=32） and non-suicidal ideation group（n=61） on the basis of the presence/absence of suicidal ideation.and their main Socio-demographic and clinical characteristics were analyzed and compared.Statis-tically significant correlations were included in the logistic regression analysis to assess risk factors of suicidal ideation.Results：disposa-ble monthly income,medical comorbidity,and scores of 17 items Hamilton rating scale for depression（HAMD-17）,the schizophrenia quality of life scale（ SQLS） and family APGAR Index（ APGAR） of schizophrenic with suicidal ideation were significantly higher than those of schizophrenic without suicidal ideation （P〈0.05）.Binary logistic regression analysis indicated that HAMD-17 score（OR=0.897,P=0.005）, SQLS score（OR=0.949,P=0.030） and APGAR score（OR=1.411,P=0.001） were significantly associated with suicidal ideation.Conclusion depression and quality of life and family function are relevant factors of suicidal ideation among long-term schizo-phrenic inpatients.