Atay Inci Meltem, Eren Ibrahim, Gündoğar Duru
Suleyman Demirel University School of Medicine, Department of Psychiatry, Isparta, Turkey.
Turk Psikiyatri Derg. 2012 Summer;23(2):89-98.
Suicide is a complex process from the initiation of ideation to planning, and finally to an attempt. This study aimed to investigate the prevalence of death ideation, attempted suicide, and the associated risk factors in Isparta, Turkey.
The study included 600 participants aged 18-65 years representative of the population of central Isparta that were selected via the stratified simple randomized sampling method. The participants were administered a questionnaire for collecting demographic data, and the participant's experiences of death ideations and suicide attempts, and the clinical version of SCID were used.
The lifetime prevalence of attempted suicide and death ideations was 4.3% and 27.5%, respectively. Death ideas and attempted suicide were both more prevalent among women and younger adults. All those that attempted suicide were exposed to a stress factor prior to the attempt. The rates of death ideation and attempted suicide were lower among the participants that had children. A family history of attempted suicide was associated with an increase in the frequency of death ideations and attempted suicide. Attempted suicide and death ideas were more common among those with major depressive disorder. Generalized anxiety disorder was observed significantly more frequently among those that had attempted suicide. Panic disorder and a specific phobia were also significantly associated with death ideation.
The present study's findings indicate that there were common risk factors for attempted suicide and death ideations in the study group. Determination of the prevalence of attempted suicide and death ideation in a population, identification of the associated risk factors and assessment of their relationship to mental disorders can facilitate a better understanding of suicidal behaviour.
自杀是一个从产生想法到制定计划，最终付诸行动的复杂过程。本研究旨在调查土耳其伊斯帕尔塔市死亡意念、自杀未遂的患病率及其相关危险因素。
本研究纳入了600名年龄在18 - 65岁之间的参与者，他们通过分层简单随机抽样方法选取，代表了伊斯帕尔塔市中心的人口。参与者接受了一份问卷，用于收集人口统计学数据，并使用了参与者的死亡意念和自杀未遂经历，以及临床版的SCID。
自杀未遂和死亡意念的终生患病率分别为4.3%和27.5%。死亡意念和自杀未遂在女性和年轻人中更为普遍。所有自杀未遂者在自杀未遂前都经历了一个压力因素。有孩子的参与者中，死亡意念和自杀未遂的发生率较低。自杀未遂家族史与死亡意念和自杀未遂频率的增加有关。自杀未遂和死亡意念在患有重度抑郁症的人群中更为常见。在自杀未遂者中，广泛性焦虑障碍的观察频率显著更高。惊恐障碍和特定恐惧症也与死亡意念显著相关。
本研究结果表明，研究组中自杀未遂和死亡意念存在共同的危险因素。确定人群中自杀未遂和死亡意念的患病率，识别相关危险因素并评估它们与精神障碍的关系，有助于更好地理解自杀行为。
