新疆维吾尔族住院精神分裂症患者自杀危险因素分析

Risk factors of suicide in Uygur patients with schizophrenia at Xinjiang area

目的:调查新疆维吾尔族精神分裂症患者出现自杀倾向的危险因素。方法:127例维族精神分裂症患者依据自杀倾向标准将其分为有自杀倾向组51例和无自杀倾向组76例,调查两组的一般资料及采用人格障碍诊断问卷(personality disorder diagnosis questionnaire,PDQ-4^+)测评人格障碍类型,对影响患者自杀倾向的因素建立决策树模型分析。结果:有自杀倾向组中独居、病程≥5年及有家族自杀史的患者比例显著高于无自杀倾向组;≥大专学历和收入>5万/年的患者比例显著低于无自杀倾向组(P<0.05或P<0.001)。有自杀倾向组PDQ-4+在偏执型(t=4.808)、分裂型(t=3.443)、边缘型(t=4.776)、反社会型(t=5.647)、强迫型(t=2.695)、被动攻击型(t=3.327)及抑郁型(t=2.221)人格障碍得分明显高于无自杀倾向组(P<0.05或P<0.001)。结论:维族精神分裂症患者出现自杀倾向的危险因素依次是家族自杀史、婚姻状况、收入水平、病程和学历。

Objective：To investigate the risk factors of suicide in Uygur patients with schizophrenia at Xinjiang.Method：One hundred and twenty-seven cases were selected from Uyghur patients with schizophrenia,grouped by suicide risk standard.We divided into suicide risk group and nun-risk group,with 51 and 76 cases each.General information and personality disorder type were collected by using personality disorder diagnosis questionnaire（ PDQ-4^＋）.Decision tree model were established to determine risk factors of suicide in Uygur patients with schizophrenia.Results：The living alone,more than 5 years of disease course,and family suicide history were higher in suicide risk group than in nun-risk group;and higher education（ above junior college）,higher income（ above 5 0000 per year） was lower in suicide risk group than in nun-risk group（ P〈0.05 or P〈0.001）.Paranoid type（ t = 4.808）,schizotypal type（ t = 3.443）,borderline type（ t = 4.776）,antisocial type（ t = 5.647）,compulsive type（ t = 2.695）,passive agression type（ t = 3.327）,depression type（ t = 2.221）were higher in suicide risk group than in nun-risk group（ P〈0.05 or P〈0.001）.Conclusion：The risk factors of suicide is family suicide history,marital status,income level,course of disease and educational background in Uygur patients with schizophrenia.