伴有自杀行为的抑郁症临床分析

Clinical Analysis of Depression Complicated by Suicidal Action

目的:探讨伴有自杀行为抑郁症的临床特点。方法:对符合CCMD-2-R诊断标准的246例抑郁症患者,根据有无自杀行为分为两组,并对两组的临床资料进行对照分析。结果:有自杀行为的抑郁症在病前有不良生活事件及具有早醒、焦虑激越、自责自罪、绝望和妄想者较对照组多见,且有显著性差异(P<0.01或0.05),其余方面差异均无显著性(P均>0.05)。抑郁症发生自杀行为以春、夏季多见,自杀方式以服药为多,其次为自缢、投水等。结论:具有上述症状的抑郁症患者具有潜在自杀的危险性,应引起社会、家庭和精神科医务工作者的重视,以尽早发现、治疗并采取防范措施。

Objective:To study the clinical feature of depression complicated by suicidal action.Methods:246 depression patients suitable to CCMD-2-R diagnosic standard were divided into two groups: suicide group and control group. The clinical data of the two groups were compared,controlled and analysed .Results:The patients in the suicide group which underwent some incidents in their life before disease and suffered from insomnia in the second half of night,anxiety,excitement, blaming oneself,feeling of despair and delusion, were more in quantity than that in control group. The difference between the two groups was considerable (P < 0.01 or 0.05) .The occurrance rate of suicidal action in patients with depression was higher in spring and summer.Taking poison was the first in the suicidal ways,followed by hanging oneself and drowning oneself in water. Conclusion:The depression patients with above -mentioned symptoms frequently have a potential danger of suicide. This problem must attracte the attention of society, families and psychiatrists, so that the disease may be early discovered,treated and protected against.