非自杀性自伤行为障碍患者的自杀意念及其危险因素分析

Analysis of suicidal ideation and its risk factors in patients with non-suicidal self-harm

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2022, 49(2)
作者
作者单位

重庆市长寿区第三人民医院 ;
重庆医科大学附属大学城医院 ;

摘要
目的:探讨非自杀性自伤行为障碍(NSSI-D)患者的自杀意念及其危险因素。方法:连续纳入2018年6月-2019年6月在我院住院的符合DSM-5对NSSI-D诊断标准的202例患者,评估其一般资料问卷(包括性别、年龄、NSSI病程、童年创伤史、自杀未遂史等)、汉密尔顿抑郁量表(HAMD)、汉密尔顿焦虑量表(HAMA),使用贝克自杀意念量表将患者分为有自杀意念组和无自杀意念组,使用Logistic回归模型分析NSSI-D患者出现自杀意念的影响因素。结果:202例NSSI-D患者年龄12-24岁,平均16.7±2.7岁,以女性(85.6%/173例)和学生(92.6%/187例)为主,其中有135例(66.8%)患者伴有自杀意念。单因素分析中,自杀意念在童年创伤、自杀未遂史、HAMD评分、HAMA评分、NSSI病程方面差异有统计学意义(P<0.05)。二分类 Logistic 回归分析显示童年创伤(OR=12.575)、自杀未遂史(OR=8.581)、焦虑评分(OR=1.124)、NSSI病程(OR=1.026)均为自杀意念的危险因素。结论:住院的非自杀性自伤行为障碍患者的自杀意念较为常见,在临床上,应针对高危人群进行重点干预以减少医疗风险。
Abstract
Objective: To explore the suicidal ideation and its risk factors of patients with non-suicidal self-injury behavior disorder (NSSI-D). Methods: Continuously included 202 patients who met the DSM-5 diagnostic criteria for NSSI-D, and evaluated their general information questionnaire、 HAMD and HAMA, Use the Baker Suicide Ideation Scale to divide patients into suicidal ideation and no suicide ideation groups, logistic regression model was used to analyze the influencing factors of suicidal ideation in NSSI-D patients. Results: 202 cases of NSSI-D patients were 12-24 years old, with an average of 16.7±2.7 years old, mainly women (85.6%/173) and students (92.6%/187), of which 135 cases (66.8%) were accompanied by Suicidal ideation. In univariate analysis, there were statistically significant differences in suicidal ideation in childhood trauma, suicide attempt history, HAMD score, HAMA score, and NSSI course (P<0.05),Childhood trauma(OR=12.575), suicide attempt history (OR=8.581), anxiety score (OR=1.124), NSSI course (OR=1.026)are all risk factors for suicidal ideation. Conclusion:Suicidal ideation is more common in hospitalized patients with NSSI-D. In clinical practice, key interventions should be made for high-risk groups to reduce medical risks.
关键词
非自杀性自伤行为;自杀意念;危险因素
KeyWord
non-suicidal self-injury;Suicidal ideation;Risk factors
基金项目
页码 203-206
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李振阳,王皋茂*,叶文莉,宋京瑶,何现萍,曾巧羚,高贺,王小春. 非自杀性自伤行为障碍患者的自杀意念及其危险因素分析 [J]. 国际精神病学杂志. 2022; 49; (2). 203 - 206.

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2022-11-01 02:59:31

院的非自杀性自伤行为障碍患者的自杀意念较为常见,在临床上,应针对高危人群进行重点干预以减少医疗风险

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