首页|童年创伤、社会支持、绝望感对成人抑郁患者自杀风险的影响

童年创伤、社会支持、绝望感对成人抑郁患者自杀风险的影响

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目的 探讨童年期创伤、社会支持、绝望感及抑郁程度对成年抑郁障碍患者自杀的影响.方法 连续纳入2023年4月~2023年8月在深圳市精神卫生中心93例住院患者,符合ICD-10"抑郁发作"或"复发性抑郁障碍"的诊断标准,使用汉密尔顿抑郁量表、童年创伤问卷、社会支持量表、贝克绝望量表、简明国际神经精神访谈自杀模块、自杀行为问卷-修订版进行评估.结果 成年抑郁障碍患者的绝望感、自杀和抑郁程度两两变量间均呈正相关(P<0.01),童年创伤与自杀风险、绝望感呈正相关(P<0.01),社会支持与童年创伤、绝望感呈负相关(P<0.01),童年创伤在社会支持与绝望感中起中介作用,抑郁在绝望感和自杀中起到中介作用,绝望感在童年创伤和自杀中起中介作用.结论 绝望感和抑郁程度都增加了自杀的风险,绝望感和童年创伤、较差的社会支持有关,经历童年创伤患者对自杀的影响是通过增加绝望感而起作用.
Effects of childhood trauma,social support,and hopelessness on suicide risk in adults with depression
Objective Exploring the effects of childhood trauma,social support,despair,and degree of de-pression on suicide in adult patients with depressive disorder.Methods A total of 93 hospitalized patients at Shenzhen Mental Health Center from April 2023 to August 2023 were included in the study,who met the ICD-10 diagnostic cri-teria for depression.They were evaluated using the Hamilton Depression Scale、Childhood Trauma Questionnaire、So-cial Support rating scale、Beck hopelessness scale、Mini International Neuropsychiatric Interview and Suicide Behav-ior Questionnaire Revised.Results The levels of despair,suicide,and depression in adult patients with depressive disorders were positively correlated(P<0.01),childhood trauma was positively correlated with suicide risk and despair(P<0.01),and social support was negatively correlated with childhood trauma and despair(P<0.01).Childhood trauma played a mediating role in social support and despair,while depression played a mediating role in despair and suicide,Despair plays a mediating role in childhood trauma and suicide.Conclusion Despair and depression levels both increase the risk of suicide,Despair is related to childhood trauma and poor social support,and the impact of ex-periencing childhood trauma on suicide is mediated by increasing the sense of despair.

SuicideDepressionSocial supportChildhood traumaDespair

徐家玥、周云飞

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安徽医科大学精神卫生与心理科学学院(合肥,230032)

深圳市精神卫生中心/深圳市康宁医院

自杀 抑郁障碍 社会支持 童年创伤 绝望

广东省高水平临床重点专科建设项目(深圳市配套建设经费)深圳市医学重点学科建设项目

SZGSP013SZXK041

2024

国际精神病学杂志
中南大学

国际精神病学杂志

CSTPCD
影响因子:1.426
ISSN:1673-2952
年,卷(期):2024.51(2)
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