首页|双相情感障碍门诊患者自杀行为影响因素

双相情感障碍门诊患者自杀行为影响因素

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目的:探讨临床特征对双相情感障碍患者自杀行为的影响.方法:采用连续采样法纳入研究2013 年2 月至2014 年6 月中国6 个城市7 家医院门诊双相情感障碍患者共520 例.根据患者的自杀行为史分为有自杀行为组和无自杀行为组,比较两组间一般人口学、临床特征之间的差异,以自杀行为次数为因变量,采用Poisson回归分析,分析与双相障碍患者自杀行为次数相关的影响因素.结果:年龄与自杀行为存在关联(χ2=15.01,P=0.001),年龄越大,出现自杀行为的次数越多(OR=1.04,95%CI:1.02~1.06);工作状态与自杀行为存在关联(χ2=12.97,P=0.003),无工作群体自杀次数更高(OR=2.81,95%CI:1.60~4.92),精神疾病阳性家族史与自杀行为存在关联(χ2=5.82,P=0.046),精神疾病阳性家族史的患者自杀行为次数更多(OR=1.77,95%CI:1.12~2.78).结论:双相情感障碍患者自杀行为次数与年龄、工作状态及精神疾病阳性家族史有关.
The influencing factors of suicidal behavior in outpatients with bipolar disorder
Objective:To explore the impact of clinical features of symptoms on suicidal behavior in pa-tients with bipolar disorder.Method:A total of 520 consecutive outpatients diagnosed with bipolar disorder from February 2013 to June 2014 in 7 hospitals of 6 cities in China were followed up.The general demographic and medical history of the patients were collected.The general demographic data and clinical characteristics of patients with and without suicidal attempt were compared.Poisson regression analysis was used to explore the clinical characteristics of suicidal attempt.Results:In cases with suicidal attempts,factors of suicidal attempts was associated with older age(χ2=15.01,P=0.001,OR=1.04,95%CI:1.02-1.06),non-working status(χ2=12.97,P=0.003,OR=2.81,95%CI:1.60~4.92)and the positive family history of mental illness(χ2=5.82,P=0.046,OR=1.77,95%CI:1.12-2.78).Conclusion:The number of suicidal attempts in patients with bipolar disorder was related to age,work status and positive family history of mental illness.

bipolar disordersuicidal attemptrisk factor

杨洁、赵莹莹、朱雪泉

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100088 首都医科大学附属北京安定医院,国家精神心理疾病临床医学研究中心,精神疾病诊断与治疗北京市重点实验室

双相情感障碍 自杀行为 危险因素

北京市市属医院科研培育计划

PX2021069

2024

临床精神医学杂志
南京医科大学附属脑科医院

临床精神医学杂志

CSTPCD
影响因子:1.108
ISSN:1005-3220
年,卷(期):2024.34(3)