High Risk Factors and Preventive Measures for Suicidal Behavior in Patients with Bipolar Disorder
Objective To explore the high risk factors and preventive measures of suicidal behavior in patients with bipolar disorder.Methods The clinical data of 134 patients with bipolar disorder admitted to the Second People's Hospital of Shangqiu from January 2021 to December 2022 were retrospectively analyzed.The selected patients were divided into the suicide group(41 cases)and the non-suicide group(93 cases)according to whether they had suicidal behavior.The clinical data of the two groups were compared,and the factors with statistical significance in the univariate analysis were included in the multivariate analysis,and the risk factors affecting the suicidal behavior of patients with bipolar disorder were analyzed by multivariate logistic regression analysis.Results The proportion of patients with women,with history of mental stimulation,impulsive personality,major mental trauma,previous non-suicidal self-injury and previous suicide attempt in the suicide group were higher than the non-suicide group.The first onset age were smaller than the non-suicide group.Levels of serum free triiodothyronine(FT3)were lower than those in the non-suicide group(P＜0.05).Multivariate logistic regression analysis showed that female,major mental trauma,young age at first onset and low level of serum FT3 were independent risk factors for suicidal behavior in patients with bipolar disorder(P＜0.05).Conclusion Female,major trauma,young age at first episode and low level of serum FT3 were independent risk factors for suicidal behavior in patients with bipolar disorder.Accordingly,appropriate treatment and intervention measures could be given to high-risk patients to reduce the occurrence of suicide events.
万方数据
维普
