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.
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.
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。
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