青少年抑郁症患者自伤自杀行为的伦理审视与干预建议

Ethical Review and Intervention Suggestions on Self-Injury Suicide Behavior in Adolescent Depression Patients

为从伦理学角度对青少年抑郁症患者自伤自杀行为进行审视,并根据分析结果提出干预建议。选取2017年7月至2020年7月于西安交通大学第一附属医院精神科住院的青少年抑郁症发作患者,对其中具有自伤自杀行为和不具有自伤自杀行为的患者进行心理、家庭及社会因素的分析和比较,找出青少年抑郁症患者自伤自杀行为的影响因素。研究共纳入230例青少年抑郁症患者,其中男性88例(38.26%),女性142例(61.74%)。性别、人际关系、诱因、病程在具有自伤自杀行为和不具有自伤自杀行为的患者之间存在差异(P<0.05),且是否为独生子女和PHQ-9得分是青少年抑郁症自伤自杀行为的危险因素(P<0.05)。由此得知,复杂的心理矛盾、精神类障碍、周围人的不理解甚至指责是目前导致青少年抑郁症患者自伤自杀行为的主要原因。及时对其心理问题进行疏导,并引导其对存在的精神类障碍树立正确的认识,尽早干预和治疗是目前伦理学认可的做法。

To examine the self-injury suicide behavior of adolescent depression patients from an ethical perspective,and according to the analysis results put forward intervention suggestions.Selected adolescents with depression were admitted to the psychiatric department of the First Affiliated Hospital of Xi'an Jiaotong University from July 2017 to July 2020,analyzed and compared psychological,family and social factors of patients with self-injury suicide behavior and not with a self-injury suicide behavior,found out the influence factors of adolescent depression self-injury suicide behavior,and examined and gave suggestions from the perspective of ethics.The study included 230 adolescent depression patients,88 males(38.26%),142 women(61.74%).Gender,interpersonal relationships,triggers,course of disease differ between patients with and without self-injury suicidal behavior(P<0.05),only child and the score of PHQ-9 were the risk factors of self-injury suicide behavior in adolescents(P<0.05).It was found that complex psychological contradictions,mental disorders,people around the people do not understand or even blame are the current causes of adolescent depression self-injury suicide behavior of ethical distress.It is accepted by ethics to conduct timely counseling for their psychological problems,correctly understand the patients themselves and the people around them for their mental disorders,and intervene and treat them as soon as possible.