Peng Eugene Yu-Chang, Yeh Ching-Ying, Lyu Shu-Yu, Morisky Donald E, Chen Yi-Ming Arthur, Lee Ming-Been, Farabee David, Malow Robert M
Department of Community Medicine, Taipei City Hospital, Taiwan.
AIDS Care. 2010 Oct;22(10):1212-20. doi: 10.1080/09540121003623701.
The purpose of this study was to explore the prevalence and correlates of lifetime suicidal ideation (SI) among HIV-infected male inmates. All participants in seven prisons, comprising roughly 20% of all HIV-infected male inmates in Taiwan, were stratified by geographic location and surveyed using a self-administered, anonymous questionnaire. The five-item Brief Symptom Rating Scale (BSRS-5) was used on 535 participants to measure various dimensions of psychological distress. Seven questions regarding lifetime psychiatric symptoms were also added to the questionnaire. Questionnaire results in this sample revealed that 23.7% had suffered depressive symptoms for at least two weeks, 20.6% experienced serious anxiety or tension symptoms, 12.5% had serious thoughts of suicide symptoms, and 4.1% had made a suicide attempt. Results of multiple logistic regression analysis indicated that SI was significantly related to (1) recent psychological distress, and (2) lifetime experience of depression for two weeks or more, serious anxiety or tension, or hallucinations. Since nearly 70% of the respondents reported at least one psychiatric symptom in their lifetime, it would seem important to target HIV-infected male inmates with mental health interventions and suicide prevention.
本研究旨在探讨感染艾滋病毒的男性囚犯一生中自杀意念（SI）的患病率及其相关因素。台湾七所监狱的所有参与者，约占台湾所有感染艾滋病毒男性囚犯的20%，按地理位置分层，并使用自填式匿名问卷进行调查。对535名参与者使用了五项简明症状评定量表（BSRS-5）来测量心理困扰的各个维度。问卷中还增加了七个关于终生精神症状的问题。该样本的问卷结果显示，23.7%的人至少有两周的抑郁症状，20.6%的人经历过严重焦虑或紧张症状，12.5%的人有严重的自杀念头症状，4.1%的人有过自杀未遂。多元逻辑回归分析结果表明，自杀意念与以下因素显著相关：（1）近期心理困扰，以及（2）一生中经历过两周或更长时间的抑郁、严重焦虑或紧张，或幻觉。由于近70%的受访者报告一生中至少有一种精神症状，因此针对感染艾滋病毒的男性囚犯进行心理健康干预和自杀预防似乎很重要。
