Ran Mao-Sheng, Xiang Meng-Ze, Li Jie, Huang Jian, Chen Eric Yu-Hai, Chan Cecilia Lai-Wan, Conwell Yeates
University of Guam, Mangilao, Guam 96923, USA.
Arch Suicide Res. 2007;11(1):119-27. doi: 10.1080/13811110600993090.
The aim of this study was to compare the demographic and clinical characteristics of individuals with affective disorders who had attempted suicide at some time in their lives and those who had not made a suicide attempt. In a Chinese rural community, individuals with suicide attempt (N = 30) and those without suicide attempt (N = 166) were assessed with Present State Examination (PSE). Attempters had a significantly higher level of family economic status, higher rate of lifetime depressed mood and hopelessness, and delusions than nonattempters. The logistic regression models also indicated that depressed mood and hopelessness were the most important predictors of suicide attempts. No significant difference in treatment condition was found between attempters and non-attempters. Early identification and interventions focusing on reducing depressed mood, hopelessness, and controlling psychotic symptoms may be helpful in reducing the risk of suicide attempts among individuals with affective disorders residing in the community.
本研究的目的是比较曾在人生某个阶段有过自杀未遂经历的情感障碍患者与未曾有过自杀未遂经历的情感障碍患者的人口统计学和临床特征。在中国农村社区，对有自杀未遂经历者（N = 30）和无自杀未遂经历者（N = 166）进行了现况检查（PSE）评估。有自杀未遂经历者的家庭经济状况水平显著更高，终生抑郁情绪和绝望感的发生率更高，且妄想症发生率高于无自杀未遂经历者。逻辑回归模型还表明，抑郁情绪和绝望感是自杀未遂最重要的预测因素。有自杀未遂经历者和无自杀未遂经历者在治疗情况方面未发现显著差异。早期识别以及针对减轻抑郁情绪、绝望感和控制精神病症状的干预措施，可能有助于降低社区中情感障碍患者的自杀未遂风险。
