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韩国中风患者自杀意念的相关因素。

Factors related to suicidal ideation in stroke patients in South Korea.

作者信息

Park Eun-Young, Kim Jung-Hee

机构信息

a Department of Secondary Special Education , College of Education, Jeonju University , Jeonju , Korea and.

b Department of Nursing , College of Health Science, Dankook University , Cheonan , Korea.

出版信息

J Ment Health. 2016;25(2):109-13. doi: 10.3109/09638237.2015.1101412. Epub 2016 Feb 27.

DOI:10.3109/09638237.2015.1101412
PMID:26922852
Abstract

BACKGROUND

Suicide rates in Korea have increased dramatically. Stroke is considered one of the most debilitating neurological disorders, resulting in physical impairment, disability, and death.

AIM

The present study attempted to examine factors related to suicidal ideation in community-dwelling stroke patients.

METHODS

The Korea Welfare Panel Study was used to investigate the relationship between demographic and psychological variables and suicidal ideation among these individuals. Depression was assessed using the Center for Epidemiological Studies Depression Scale 11 (CES-D-11). Self-esteem was assessed using Rosenberg's Self-Esteem Scale.

RESULTS

The prevalence of suicidal thought among stroke patients was estimated at 13.99%. Multiple logistic regression analysis indicated that both older age and depression were significant independent risk factors for suicidal ideation.

CONCLUSION

High-priority health care plans can prevent suicide in stroke patients suffering from depression. Assessing risk for suicide and monitoring the high-risk group is integral to health care. Stroke patients with depression, particularly older patients, would be prime targets for suicide intervention programs.

摘要

背景

韩国的自杀率急剧上升。中风被认为是最使人衰弱的神经系统疾病之一,会导致身体损伤、残疾和死亡。

目的

本研究试图探讨社区中风患者自杀意念的相关因素。

方法

利用韩国福利小组研究调查这些个体的人口统计学和心理变量与自杀意念之间的关系。使用流行病学研究中心抑郁量表11(CES-D-11)评估抑郁情况。使用罗森伯格自尊量表评估自尊。

结果

中风患者自杀念头的患病率估计为13.99%。多因素逻辑回归分析表明,年龄较大和抑郁都是自杀意念的重要独立危险因素。

结论

高度优先的医疗保健计划可以预防患有抑郁症的中风患者自杀。评估自杀风险和监测高危人群是医疗保健的组成部分。患有抑郁症的中风患者,尤其是老年患者,将是自杀干预项目的主要目标。

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