肯尼亚综合性医疗机构成年患者的自杀意念和抑郁状况。
Suicidality and depression among adult patients admitted in general medical facilities in Kenya.
机构信息
Africa Mental Health Foundation, Nairobi, Kenya.
出版信息
Ann Gen Psychiatry. 2010 Feb 12;9:7. doi: 10.1186/1744-859X-9-7.
Abstract
AIM
To document Beck Depression Inventory (BDI) II suicidal symptoms among patients admitted to Kenyan non-psychiatric general medical facilities
METHODS
All consenting adults admitted within a period of 4 weeks at 10 general medical facilities in Kenya were interviewed for suicidal symptoms and depression using the BDI-II.
RESULTS
In all, 2,780 patients responded to item 9 (suicidal symptoms of the BDI-II). The prevalence of all BDI-II suicidal symptoms combined was 10.5%. Thoughts of 'killing oneself but have not carried them out' accounted for 9% of the suicidal symptoms. The younger age group had the highest prevalence of suicidal symptoms and the oldest age group had the least prevalence of suicidal symptoms. The more depressed the patients were on the overall BDI-II score, the higher the prevalence of suicidal symptoms.
CONCLUSION
On average 1 out of 10 of the patients had suicidal symptoms, more so in younger than the older people and in the more depressed. These symptoms had not been clinically recognised and therefore not managed. This calls for clinical practice that routinely enquires for suicidal symptoms in general medical wards.
摘要
目的
记录在肯尼亚非精神科综合医疗设施住院的患者中贝克抑郁量表（BDI）II 项的自杀症状。
方法
在肯尼亚的 10 家综合医疗设施中，对所有在 4 周内同意入住的成年患者进行 BDI-II 项的自杀症状和抑郁情况访谈。
结果
共有 2780 名患者回答了 BDI-II 项的第 9 个问题（自杀症状）。所有 BDI-II 项自杀症状合并的发生率为 10.5%。“有自杀念头但未付诸实施”占自杀症状的 9%。年龄越小的组自杀症状的发生率越高，年龄越大的组自杀症状的发生率越低。患者在整体 BDI-II 评分中越抑郁，自杀症状的发生率越高。
结论
平均每 10 名患者中就有 1 名出现自杀症状，年轻人比老年人更常见，抑郁程度越重越常见。这些症状尚未得到临床识别，因此未得到管理。这需要在综合医疗病房的常规临床实践中询问自杀症状。
相似文献
1
Suicidality and depression among adult patients admitted in general medical facilities in Kenya.肯尼亚综合性医疗机构成年患者的自杀意念和抑郁状况。
Ann Gen Psychiatry. 2010 Feb 12;9:7. doi: 10.1186/1744-859X-9-7.
2
Depression and suicidal thoughts in untreated and treated narcolepsy: Systematic analysis.未治疗和治疗的发作性睡病中抑郁和自杀念头：系统分析。
Neurology. 2020 Nov 17;95(20):e2755-e2768. doi: 10.1212/WNL.0000000000010737. Epub 2020 Sep 22.
3
Psychometric properties of the Lithuanian version of the NDDI-E in persons with epilepsy and suicidal ideation.癫痫伴自杀意念患者中 NDDI-E 立陶宛语版的心理测量特性。
Epilepsy Behav. 2022 Nov;136:108913. doi: 10.1016/j.yebeh.2022.108913. Epub 2022 Sep 23.
4
Depressive symptoms and associated factors in medical interns at a tertiary hospital.一家三级医院医学实习生的抑郁症状及相关因素
S Afr J Psychiatr. 2019 Jul 4;25(0):1322. doi: 10.4102/sajpsychiatry.v25i0.1322. eCollection 2019.
5
Can Gender and Age Impact on Response Pattern of Depressive Symptoms Among College Students? A Differential Item Functioning Analysis.性别和年龄会影响大学生抑郁症状的反应模式吗？一项项目功能差异分析。
Front Psychiatry. 2019 Feb 12;10:50. doi: 10.3389/fpsyt.2019.00050. eCollection 2019.
6
Suicidality and its determinants among Polish patients with epilepsy.波兰癫痫患者的自杀倾向及其决定因素。
Neurol Neurochir Pol. 2016 Nov-Dec;50(6):432-438. doi: 10.1016/j.pjnns.2016.07.009. Epub 2016 Jul 28.
7
Frequency of suicidal ideation and associated clinical features in Lewy body dementia.路易体痴呆患者自杀意念的发生频率及其相关临床特征。
Parkinsonism Relat Disord. 2021 Sep;90:33-37. doi: 10.1016/j.parkreldis.2021.07.029. Epub 2021 Jul 29.
8
Suicidal thoughts in patients with empty nose syndrome.空鼻综合征患者的自杀念头。
Laryngoscope Investig Otolaryngol. 2022 Jan 19;7(1):22-28. doi: 10.1002/lio2.730. eCollection 2022 Feb.
9
Predictors of suicidal ideation in people with epilepsy living in Korea.韩国癫痫患者自杀意念的预测因素。
J Clin Neurol. 2010 Jun;6(2):81-8. doi: 10.3988/jcn.2010.6.2.81. Epub 2010 Jun 30.
10
Quality of life of depressed and suicidal patients seeking services from traditional and faith healers in rural Kenya.肯尼亚农村地区向传统治疗师和信仰治疗师寻求服务的抑郁症和自杀倾向患者的生活质量。
Health Qual Life Outcomes. 2017 May 8;15(1):95. doi: 10.1186/s12955-017-0657-1.
引用本文的文献
1
Prevalence and associated factors of mental health distress among hospitalized patients in general hospitals: a multi-center cross-sectional study in Iran.综合医院住院患者心理健康困扰的患病率及相关因素：伊朗的一项多中心横断面研究
Discov Ment Health. 2024 Dec 19;4(1):66. doi: 10.1007/s44192-024-00119-9.
2
Perspectives on reasons for suicidal behaviour and recommendations for suicide prevention in Kenya: qualitative study.肯尼亚自杀行为原因的观点及自杀预防建议：定性研究
BJPsych Open. 2023 Feb 17;9(2):e38. doi: 10.1192/bjo.2023.7.
3
Community suicide rates and related factors within a surveillance platform in Western Kenya.肯尼亚西部监测平台内的社区自杀率及其相关因素。
BMC Psychiatry. 2022 Jan 4;22(1):7. doi: 10.1186/s12888-021-03649-6.
4
Lifetime Prevalence and Determinants of Suicidal Ideation and Attempt Among All Patients Living with HIV/AIDS in Hiwot Fana Specialized Hospital, Harar, Ethiopia, 2020.2020年埃塞俄比亚哈勒尔希沃特法纳专科医院所有感染艾滋病毒/艾滋病患者自杀意念和自杀未遂的终生患病率及决定因素
HIV AIDS (Auckl). 2020 Aug 6;12:331-339. doi: 10.2147/HIV.S257502. eCollection 2020.
5
Intimate Partnerships, Suicidal Ideation and Suicide-Related Hospitalization Among Young Kenyan Men.肯尼亚年轻男性中的亲密关系、自杀意念及与自杀相关的住院情况
Community Ment Health J. 2020 Oct;56(7):1225-1238. doi: 10.1007/s10597-020-00572-0. Epub 2020 Feb 4.
6
Effect of fish oil omega-3 fatty acids on reduction of depressive symptoms among HIV-seropositive pregnant women: a randomized, double-blind controlled trial.鱼油ω-3脂肪酸对降低HIV血清阳性孕妇抑郁症状的影响：一项随机、双盲对照试验。
Ann Gen Psychiatry. 2018 Nov 26;17:49. doi: 10.1186/s12991-018-0220-4. eCollection 2018.
7
Suicidality and associated risk factors in outpatients attending a general medical facility in rural Kenya.肯尼亚农村地区综合医疗机构门诊患者的自杀倾向及相关风险因素
J Affect Disord. 2018 Jan 1;225:413-421. doi: 10.1016/j.jad.2017.08.059. Epub 2017 Aug 31.
8
Mental Health Outcomes of Psychosocial Intervention Among Traditional Health Practitioner Depressed Patients in Kenya.肯尼亚传统医疗从业者治疗的抑郁症患者心理社会干预的心理健康结果
Cult Med Psychiatry. 2017 Sep;41(3):453-465. doi: 10.1007/s11013-017-9527-x.
9
Tedium vitae, death wishes, suicidal ideation and attempts in Kenya-prevalence and risk factors.肯尼亚的生活乏味、死亡意愿、自杀意念及自杀未遂——患病率及风险因素
BMC Public Health. 2015 Aug 8;15:759. doi: 10.1186/s12889-015-2089-3.
10
Prevalence, types and comorbidity of mental disorders in a Kenyan primary health centre.肯尼亚一家初级卫生保健中心精神障碍的患病率、类型及共病情况
Soc Psychiatry Psychiatr Epidemiol. 2014 Aug;49(8):1257-68. doi: 10.1007/s00127-013-0755-2.
本文引用的文献
1
Perspectives on suicide in Africa.非洲自杀问题的观点
Int Psychiatry. 2006 Jan 1;3(1):7-8. eCollection 2006 Jan.
2
The prevalence of mental disorders in adults in different level general medical facilities in Kenya: a cross-sectional study.肯尼亚不同级别综合医疗设施中成年精神障碍的患病率：一项横断面研究。
Ann Gen Psychiatry. 2009 Jan 14;8:1. doi: 10.1186/1744-859X-8-1.
3
Non-fatal suicidal behavior among South Africans : results from the South Africa Stress and Health Study.南非人的非致命自杀行为：来自南非压力与健康研究的结果
Soc Psychiatry Psychiatr Epidemiol. 2008 Jun;43(6):454-61. doi: 10.1007/s00127-008-0348-7. Epub 2008 May 12.
4
Self-reported suicidal behavior and attitudes toward suicide and suicide prevention among psychology students in Ghana, Uganda, and Norway.加纳、乌干达和挪威心理学专业学生的自杀行为自我报告以及对自杀和自杀预防的态度。
Crisis. 2008;29(1):20-31. doi: 10.1027/0227-5910.29.1.20.
5
Prevalence and correlates of non-fatal suicidal behaviour among South Africans.南非非致命自杀行为的患病率及其相关因素
Br J Psychiatry. 2008 Apr;192(4):310-1. doi: 10.1192/bjp.bp.107.037697.
6
Cross-national prevalence and risk factors for suicidal ideation, plans and attempts.自杀意念、计划和企图的跨国患病率及风险因素。
Br J Psychiatry. 2008 Feb;192(2):98-105. doi: 10.1192/bjp.bp.107.040113.
7
The prevalence of suicidal phenomena in adolescents: a systematic review of population-based studies.青少年自杀现象的患病率：基于人群研究的系统综述
Suicide Life Threat Behav. 2005 Jun;35(3):239-50. doi: 10.1521/suli.2005.35.3.239.
8
Occult suicidality in an emergency department population.急诊科人群中的隐匿性自杀倾向
Br J Psychiatry. 2005 Apr;186:352-3. doi: 10.1192/bjp.186.4.352.
9
Sociocultural determinants of suicide ideation: a comparison between American and Ghanaian college samples.自杀意念的社会文化决定因素：美国和加纳大学生样本的比较。
Suicide Life Threat Behav. 2003 Summer;33(2):165-71. doi: 10.1521/suli.33.2.165.22779.
10
Pilot evaluation of a mindfulness-based intervention to improve quality of life among individuals who sustained traumatic brain injuries.一项基于正念的干预措施对改善创伤性脑损伤患者生活质量的初步评估。
Disabil Rehabil. 2003 Jul 8;25(13):722-31. doi: 10.1080/0963828031000090489.
Zotero 插件