法国大量饮食失调住院患者样本中与自杀行为相关的因素。
Factors associated with suicidal behaviors in a large French sample of inpatients with eating disorders.
作者信息
Fedorowicz Valérie J, Falissard Bruno, Foulon Christine, Dardennes Roland, Divac Snezana M, Guelfi Julien D, Rouillon Frédéric
机构信息
Clinique de Maladies Mentales et de l'Encéphale, Hôpital Sainte-Anne, Paris, France.
出版信息
Int J Eat Disord. 2007 Nov;40(7):589-95. doi: 10.1002/eat.20415.
OBJECTIVE
The objective of the present study was to identify factors associated with suicidal behaviors among patients with eating disorders.
METHOD
A large database including sociodemographic and clinical characteristics of 1,009 consecutive patients hospitalized for an eating disorder in Paris, France, was examined. Data gathered upon admission to hospital were analyzed to identify factors associated with a history of suicide attempt or current suicidal ideation, among the whole sample as well as among each subtype of eating disorder.
RESULTS
Among the whole sample, the factor most strongly associated with suicide attempt or suicidal ideation was the diagnostic category, with the highest odds ratio for bulimia nervosa followed by anorexia nervosa of the binging/purging subtype. Among diagnostic subgroups, the strongest factors were drug use, alcohol use, and tobacco use.
CONCLUSION
Suicide risk should be monitored carefully among patients with eating disorders, paying particular attention to combinations of risk factors.
目的
本研究的目的是确定饮食失调患者中与自杀行为相关的因素。
方法
对一个大型数据库进行了检查，该数据库包含了法国巴黎1009例因饮食失调连续住院患者的社会人口统计学和临床特征。对入院时收集的数据进行分析，以确定在整个样本以及每种饮食失调亚型中与自杀未遂史或当前自杀意念相关的因素。
结果
在整个样本中，与自杀未遂或自杀意念最密切相关的因素是诊断类别，暴食症的比值比最高，其次是暴饮暴食/清除亚型的神经性厌食症。在诊断亚组中，最强的因素是药物使用、酒精使用和烟草使用。
结论
对饮食失调患者应仔细监测自杀风险，尤其要注意危险因素的组合。
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