脑血管危险因素会增加晚年自杀风险吗？一项病例对照研究。
Do cerebrovascular risk factors confer risk for suicide in later life? A case-control study.
作者信息
Chan Sandra S, Lyness Jeffrey M, Conwell Yeates
机构信息
Department of Psychiatry, The Chinese University of Hong Kong, Hong Kong, China.
出版信息
Am J Geriatr Psychiatry. 2007 Jun;15(6):541-4. doi: 10.1097/JGP.0b013e31803c5523.
OBJECTIVE
Cerebrovascular pathologies have been implicated as a cause of depressive disorders. This study aims to examine the role of cerebrovascular risk factors in late-life suicide.
METHODS
The authors calculated cerebrovascular risk factor (CVRF) score, based on the American Heart Association Criteria, for each case and comparison subject from a psychological autopsy study of suicide among community-dwelling adults over age 50 years.
RESULTS
CVRF scores were significantly higher in suicide cases than community-dwelling comparison subjects after accounting for age, sex, depression diagnosis, and functional status.
CONCLUSION
Cerebrovascular disease may predispose to suicide in older adults by a variety of psychopathological means.
目的
脑血管病变被认为是抑郁症的一个病因。本研究旨在探讨脑血管危险因素在老年自杀中的作用。
方法
作者根据美国心脏协会标准，为来自一项针对50岁以上社区居住成年人自杀的心理解剖学研究中的每个病例和对照对象计算脑血管危险因素（CVRF）评分。
结果
在考虑年龄、性别、抑郁症诊断和功能状态后，自杀病例的CVRF评分显著高于社区居住对照对象。
结论
脑血管疾病可能通过多种心理病理途径使老年人易患自杀。
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