Department of Psychiatry, National University of Malaysia Medical Centre, Cheras, Kuala Lumpur, Malaysia.
Crisis. 2011;32(5):283-7. doi: 10.1027/0227-5910/a000088.
Depressed inpatients constitute a high-risk population for suicide attempts.
To describe the interactions of clinical and psychosocial risk factors influencing suicide attempts among a Malaysian sample of depressed inpatients.
Seventy-five subjects were diagnosed with a depressive disorder according to the Structured Clinical Interview for DSM-IV Axis I Disorders-Clinical Version (SCID-CV). Data on suicide attempts, suicidal ideation (Scale for Suicidal Ideation, SSI), depression severity (Beck's Depression Inventory, BDI), recent life-event changes (Social Readjustment Rating Scale, SRRS), sociodemographic and other relevant clinical factors were collected.
A third of the subjects presented after a current suicide attempt. Significant factors for a current suicide attempt were race, religion, recent life-event changes, suicidal ideation, and alcohol use disorder. Independent predictive risk factors for a current suicide attempt were Chinese race, recent marital separation, major mortgage or loans, and being newly diagnosed with depression. Any recent change in personal habits was shown to be a protective factor against current suicide attempt. Age and gender were nonsignificant factors.
The findings are generally consistent with existing studies and highlight the role of psychosocial risk factors.
住院抑郁症患者是自杀企图的高危人群。
描述影响马来西亚住院抑郁症患者自杀企图的临床和心理社会风险因素的相互作用。
75 名受试者根据 DSM-IV 轴 I 障碍临床版本的结构临床访谈（SCID-CV）被诊断为抑郁症。收集了自杀企图、自杀意念（自杀意念量表，SSI）、抑郁严重程度（贝克抑郁量表，BDI）、近期生活事件变化（社会再调整评定量表，SRRS）、社会人口学和其他相关临床因素的数据。
三分之一的受试者在当前自杀企图后出现。当前自杀企图的显著因素是种族、宗教、近期生活事件变化、自杀意念和酒精使用障碍。当前自杀企图的独立预测风险因素是汉族、最近婚姻破裂、重大抵押贷款或贷款以及新诊断为抑郁症。任何近期个人习惯的改变都被证明是当前自杀企图的保护因素。年龄和性别不是显著因素。
这些发现与现有研究基本一致，突出了心理社会风险因素的作用。
