精神分裂症冲动性与自杀未遂关联分析

Correlation analysis between impulsivity and suicide attempt in schizophrenia

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2023, 50(6)
作者
作者单位

河北省第六人民医院 ;

摘要
【摘要】目的:探讨精神分裂症患者冲动性与自杀未遂之间的关系。方法:本研究为通过回顾性调查河北省第六人民医院2018年1月~12月住院精神分裂症患者,自制一般情况调查表,收集患者的社会人口学资料。通过冲动行为风险评估表评估患者冲动性、自杀风险评估量表评估患者自杀未遂史。结果:住院精神分裂症患者冲动性检出率35.7%。单因素分析显示:精神分裂症患者冲动性与吸烟、男性、住院次数、自杀未遂史有关。按性别分层分性显示,女性精神分裂症患者冲动性与自杀未遂(0R=2.068,P=0.005)有关。多因素Logistic回归分析显示:多次住院(0R=1.069,P=0.038)、男性(0R=1.579,P=0.005)、自杀未遂史(0R=2.197,P<0.001)为独立危险因素。结论:精神分裂症患者自杀未遂与冲动性密切相关,多次住院、男性精神分裂症患者冲动风险更高。
Abstract
【Abstract】Objective: To explore the relationship between impulsivity and suicide attempt in patients with schizophrenia. Methods: The purpose of this study was to retrospectively investigate the patients with schizophrenia who were hospitalized in Hebei Sixth Peoples Hospital from January to December 2018. The general situation questionnaire was made by ourselves, and the socio-demographic data of the patients were collected. Impulsivity was assessed by the impulsive behavior risk assessment scale and suicide attempt history was assessed by the suicide risk assessment scale. Results: The positive rate of impulsivity in hospitalized schizophrenics was 35.7%. Univariate analysis showed that impulsivity in schizophrenia was associated with smoking, male sex, number of hospitalizations, and history of suicide attempts. Gender stratification showed that impulsivity was associated with suicide attempts in female schizophrenia patients (OR=2.068, P=0.005). Multiple Logistic regression analysis showed that multiple hospitalizations (OR=1.069, P=0.038), male (OR=1.579, P=0.005), and history of suicide attempts (OR=2.197, P < 0.001) were independent risk factors. Conclusions: Impulsivity is closely associated with suicide attempts in schizophrenia. Male patients with multiple hospitalizations and schizophrenia are at higher risk for impulsivity.
关键词
【关键词】 精神分裂症;冲动;自杀;男性
KeyWord
【keyword】Schizophrenia; Impulsivity ;Suicide; Male
基金项目
页码 1299-1302
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王艳华*. 精神分裂症冲动性与自杀未遂关联分析 [J]. 国际精神病学杂志. 2023; 50; (6). 1299 - 1302.

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