Shabani Amir, Teimurinejad Samaneh, Kokar Sadaf, Ahmadzad Asl Masoud, Shariati Behnam, Mousavi Behbahani Zohreh, Ghasemzadeh Mohammad Reza, Hasani Sahar, Taban Mojgan, Shirekhoda Shahab, Ghorbani Zahra, Tat Somayeh, Nohesara Shabnam, Shariat Seyed Vahid
Mental Health Research Center, Bipolar Disorders Research Group, Iran University of Medical Sciences, Tehran, Iran.
Tehran Psychiatric Institute, Iran University of Medical Sciences, Tehran, Iran.
Iran J Psychiatry Behav Sci. 2013 Spring;7(1):16-23.
Bipolar disorder is strongly associated with suicidal ideations, attempts and commissions. Although several studies have been conducted on suicide risk factors in patients with bipolar disorder worldwide, a comprehensive study has not been reported from Iran.
Patients with bipolar disorder type I, hospitalized in Iran Hospital of Psychiatry since May 2008 to August 2011 were sequentially enrolled. Patients were evaluated using Demographic and Clinical Variables Questionnaire, the Structured Clinical Interview for DSM-IV axis I disorders (SCID-I), Young-Mania Rating Scale (Y-MRS), and Hamilton Depressive Rating Scale-7 (HDRS-7). One hundred patients were followed for 2 to 42 months (mean: 20.6 ± 12.5 months).
Only one patient attempted suicide during the follow-up period. 33% of the patients had history of previous suicide attempts. Female gender, divorce, and early age at onset of the disease were independently correlated with suicide attempt.
Suicide attempts rarely occur during systematic follow-up of patients with bipolar disorder type I. Larger samples and longer follow-ups are needed to confirm this finding.
None.
双相情感障碍与自杀观念、自杀未遂及自杀行为密切相关。尽管全球范围内已针对双相情感障碍患者的自杀风险因素开展了多项研究，但伊朗尚未有全面的相关研究报道。
连续纳入2008年5月至2011年8月在伊朗精神病医院住院的I型双相情感障碍患者。使用人口统计学和临床变量问卷、DSM-IV轴I障碍结构化临床访谈（SCID-I）、青年躁狂评定量表（Y-MRS）和汉密尔顿抑郁评定量表-7（HDRS-7）对患者进行评估。对100例患者进行了2至42个月的随访（平均：20.6±12.5个月）。
随访期间仅有1例患者自杀未遂。33%的患者有既往自杀未遂史。女性、离婚及疾病发病年龄早与自杀未遂独立相关。
在对I型双相情感障碍患者进行系统随访期间，自杀未遂情况很少发生。需要更大样本量和更长时间的随访来证实这一发现。
无。
