埃塞俄比亚贡德尔一家成人精神病科门诊就诊者中自杀意念和自杀未遂的患病率。
The prevalence of suicidal ideation and attempts among individuals attending an adult psychiatry out-patient clinic in Gondar, Ethiopia.
作者信息
Mekonnen D, Kebede Y
机构信息
College of Medicine and Health Sciences, University of Gondar, Ethiopia.
出版信息
Afr Health Sci. 2011 Mar;11(1):103-7.
BACKGROUND
Suicide is a common problem worldwide and the magnitude is high especially in countries where mental illnesses are prevalent and psychiatric services are poor.
OBJECTIVE
To determine the prevalence of suicidal ideation and attempts among patients who attended the Psychiatry clinic of Gondar University Hospital.
METHODS
A cross sectional study was conducted from March-December 2006 involving a total of 474 patients. Data was collected using a pre tested structured questionnaire containing basic socio-demographic variables, psychiatric diagnosis, suicidal ideation, suicidal attempt, the methods of suicide attempt and ways of survival from the attempted suicide. It was administered by psychiatry nurses working in the clinic. The data was analyzed anonymously using SPSS software.
RESULTS
The commonest mental illness was Major Depressive Disorder (51.3%) followed by Psychosis (38%). Ninety one (19.2 %) patients attempted suicide at least once after the onset of the current mental illness and 307(64.8%) have suicidal ideation. The common method of suicidal attempt was hanging (45.1%) and 69.2% were at home. An association was found between suicidal ideation and attempt (OR=33.7; CI=8.2-138.8, p-value <0.01).
CONCLUSION
Suicidal ideation was common in psychiatric patients. It was also associated with suicidal attempt.
背景
自杀是一个全球性的常见问题，在精神疾病流行且精神科服务较差的国家，自杀的发生率尤其高。
目的
确定贡德尔大学医院精神科门诊患者中自杀意念和自杀未遂的发生率。
方法
于2006年3月至12月进行了一项横断面研究，共纳入474例患者。使用预先测试的结构化问卷收集数据，问卷包含基本的社会人口统计学变量、精神科诊断、自杀意念、自杀未遂、自杀未遂的方法以及从自杀未遂中幸存的方式。由在该门诊工作的精神科护士进行问卷调查。使用SPSS软件对数据进行匿名分析。
结果
最常见的精神疾病是重度抑郁症（51.3%），其次是精神病（38%）。91例（19.2%）患者在当前精神疾病发病后至少有过一次自杀未遂，307例（64.8%）有自杀意念。自杀未遂的常见方式是上吊（45.1%），69.2%的自杀未遂发生在家中。发现自杀意念与自杀未遂之间存在关联（OR=33.7；CI=8.2-138.8，p值<0.01）。
结论
自杀意念在精神科患者中很常见，且与自杀未遂有关。
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