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双相情感障碍患者自杀行为调查及其影响因素分析

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目的 调查双相情感障碍(BD)患者自杀行为,并分析其相关影响因素。方法 选取本院112例BD患者,根据其自杀行为情况,分为有自杀行为组与无自杀行为组,比较两组临床资料,构建Logistic回归分析模型分析BD患者自杀行为影响因素。结果 112例BD患者中,52例(46。43%)有自杀行为,包括有自杀意念31例(27。68%),有自杀企图21例(18。75%)。有自杀行为组女性、双相Ⅱ型、首发症状抑郁、有家族精神障碍史患者占比高于无自杀行为组(P<0。05),抑郁发作次数多于无自杀行为组(P<0。05)。Logistic回归分析结果显示,女性、双相Ⅱ型、抑郁发作次数、首发症状抑郁、有家族精神障碍史为BD患者自杀行为危险因素(P<0。05)。结论BD患者出现自杀行为的概率较高,其危险因素主要包括女性、双相Ⅱ型、抑郁发作次数、首发症状抑郁、有家族精神障碍史等。
Investigation of suicidal behaviors in patients with bipolar disorder and analysis of the influ-encing factors
Aim To investigate the suicidal behaviors in patients with bipolar disorder(BD)and analyze the influencing factors.Methods A total of 112 patients with BD were investigated.Based on their suicidal behaviors,they were divided into suicidal behavior group and non-suicidal behavior group.Clinical data of the two groups were compared,and Logistic regression a-nalysis was conducted to identify the influencing factors of suicidal behaviors in patients with BD.Results Among the 112 pa-tients with BD,52(46.43%)patients had suicidal behaviors,including 31(27.68%)patients with suicidal ideation and 21(18.75%)patients with suicidal attempt.The proportions of female patients,patients with bipolar type Ⅱ,initial symptom of de-pression and a family history of mental disorders in the suicidal behavior group were significantly higher than those in the non-suicidal behavior group(P<0.05).Logistic regression analysis found that female gender,bipolar type Ⅱ,frequency of depressive episodes,initial symptom of depression and a family history of mental disorders were risk factors for suicidal behaviors in patients with BD(P<0.05).Conclusion Patients with BD have a higher probability of suicidal behaviors.Female gender,bipolar type Ⅱ,fre-quency of depressive episodes,initial symptom of depression and a family history of mental disorders are main risk factors.

bipolar disordersuicidal behaviorinfluencing factorinvestigation

秦海燕

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阜阳市第三人民医院护理部,安徽阜阳 236000

双相情感障碍 自杀行为 影响因素 调查

阜阳市卫生健康委立项科研课题

FY2021-148

2024

中南医学科学杂志
南华大学

中南医学科学杂志

CSTPCD
影响因子:0.757
ISSN:2095-1116
年,卷(期):2024.52(4)
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