焦虑障碍与伴有抑郁症状的焦虑障碍患者自杀风险发生率的比较

Comparison of Suicide Risk between Anxiety Disorder and Anxiety Disorder Patients with Depressive Symptoms

目的探讨焦虑障碍与伴有抑郁症状的焦虑障碍患者自杀风险的发生率。方法方便选取2017年2月-2019年2月期间该院收治的520例焦虑障碍患者作为研究对象,根据简明国际神经精神访谈中的焦虑模块,分为伴有抑郁症状的焦虑障碍患者与不伴有抑郁症的焦虑障碍患者,每组患者260例。对比分析伴与不伴抑郁症状的焦虑障碍患者的自杀风险发生率。结果对比分析后,不伴有抑郁症状组别的患者自杀风险为(9.23%)显著低于伴有抑郁症状组别的患者自杀风险为(48.46%),根据多因素Logistic回归性分析来看,伴有抑郁症状的焦虑障碍患者既往住院的次数较为频繁(OR=1.16,95%CI:1.01~1.35)、焦虑障碍发生的频率(OR=2.04,95%CI:1.06~3.63)、伴随自杀意念(OR=3.54,95%CI:2.25~5.47),差异有统计学意义(P<0.05)。结论影响焦虑障碍患者自杀风险发生率的原因可能有既往住院次数的增多、焦虑障碍发生频率较多、伴自杀意念等,都是焦虑障碍患者自杀风险发生率增加的危险因素。

Objective To investigate the incidence of suicide risk in anxiety disorder and anxiety disorder patients with depressive symptoms. Methods convenient selected 520 patients with anxiety disorder who were admitted to the hospital from February 2017 to February 2019 were selected as the research objects. According to the anxiety module in brief International Neuropsychiatric interview, they were divided into anxiety disorder patients with depressive symptoms and anxiety disorder patients without depression, 26 patients in each group. The suicide risk of anxiety disorder patients with or without depressive symptoms was compared and analyzed. Results After comparative analysis, the suicide risk of patients without depressive symptoms was(9.23%) significantly lower than that of patients with depressive symptoms(48.46%). According to multivariate logistic regression analysis, the frequency of hospitalization of anxiety disorder patients with depressive symptoms was more frequent(OR=1.16, 95% CI: 1.01~1.35), and the frequency of anxiety disorder occurrence was more frequent(OR=1.16, 95% CI: 1.01~1.35)(OR=2.04, 95% CI: 1.06~3.63) and suicidal ideation(OR=3.54, 95% CI:2.25~5.47), the differences were statistically significant(P<0.05). Conclusion The factors influencing the suicide risk of anxiety disorder patients may be the increase of hospitalization times, the frequency of anxiety disorder and suicidal ideation, which are all risk factors for the increase of suicide risk of anxiety disorder patients.