School of Social Work, Columbia University, New York, New York 10027, USA.
Arch Suicide Res. 2011;15(2):160-71. doi: 10.1080/13811118.2011.566052.
Suicide attempters with major depression are at risk for repeat attempts and often do not utilize treatment. Identifying predictors of treatment non-utilization could inform interventions to motivate treatment use and reduce suicide risk in major depression. Two hundred and seventy three participants with a major depressive episode as part of a major depressive disorder or bipolar disorder, were assessed for socio-demographic and clinical characteristics at baseline and again 1 year later to identify predictors of treatment utilization. Treatment utilization rate was high 1 year after initial evaluation (72.5%). Severity of baseline depression, baseline treatment status, and education were associated with treatment utilization at 1 year. Interventions focused on increasing knowledge about depression and treatment efficacy may improve treatment adherence when treating depression.
有重度抑郁症的自杀未遂者有再次尝试的风险，而且往往不接受治疗。确定治疗不利用的预测因素可以为干预措施提供信息，以激励治疗的使用并降低重度抑郁症的自杀风险。273 名患有重度抑郁症发作的参与者，作为重度抑郁症或双相情感障碍的一部分，在基线时和 1 年后再次评估社会人口统计学和临床特征，以确定治疗利用的预测因素。在初始评估后 1 年，治疗利用率很高（72.5%）。基线抑郁严重程度、基线治疗状况和教育程度与 1 年后的治疗利用相关。当治疗抑郁症时，专注于增加对抑郁症和治疗效果的了解的干预措施可能会提高治疗依从性。
