Alves Verônica de Medeiros, Francisco Leilane Camila Ferreira de Lima, Belo Flaviane Maria Pereira, de-Melo-Neto Valfrido Leão, Barros Vinicius Gomes, Nardi Antonio E
Departamento de Enfermagem, Universidade Federal de Alagoas, Arapiraca/AL, Brasil.
Faculdade de Medicina, Universidade Federal de Alagoas, Maceió/AL, Brasil.
Clinics (Sao Paulo). 2016 Mar;71(3):135-9. doi: 10.6061/clinics/2016(03)03.
To identify the socio-demographic profiles, suicidal ideation, the presence of mental disorders and the quality of life of patients using mental health services in Arapiraca, Alagoas, Brazil.
Interviews were conducted in family health units and the Psychosocial Attention Center. The sample included 202 mental disorder patients with a risk of suicide attempts, 207 mental disorder patients without a risk of suicide attempts and 196 controls. This study used an identification questionnaire, the abbreviated World Health Organization Quality of Life questionnaire, Beck's Suicidal Ideation Scale and the Mini International Neuropsychiatric Interview.
Patients who had a mental disorder and a risk of suicide attempts tended to be single, had less education and lower family income, were not working and showed lower scores in quality of life domains; 73 of these patients had suicidal ideation in the previous week. Depressive disorders, manic episodes, hypomanic episodes, social phobias, obsessive compulsive disorder, post-traumatic stress disorder, psychotic syndromes and generalized anxiety disorder were more frequent and statistically significant for patients at risk for suicide attempts.
The management of patients with a risk of suicide attempts must focus on individual patients because this risk is directly linked to changes in quality of life and the improvement of these patients' prognosis.
确定巴西阿拉戈斯州阿拉皮拉卡市使用心理健康服务的患者的社会人口统计学特征、自杀意念、精神障碍的存在情况及生活质量。
在家庭健康单位和心理社会关注中心进行访谈。样本包括202名有自杀未遂风险的精神障碍患者、207名无自杀未遂风险的精神障碍患者和196名对照者。本研究使用了一份识别问卷、世界卫生组织生活质量简表、贝克自杀意念量表和迷你国际神经精神访谈。
有精神障碍且有自杀未遂风险的患者往往单身、受教育程度较低、家庭收入较低、没有工作且在生活质量领域得分较低；其中73名患者在过去一周有自杀意念。对于有自杀未遂风险的患者，抑郁症、躁狂发作、轻躁狂发作、社交恐惧症、强迫症、创伤后应激障碍、精神病综合征和广泛性焦虑障碍更为常见且具有统计学意义。
对有自杀未遂风险的患者的管理必须关注个体患者，因为这种风险与生活质量的变化直接相关，且对改善这些患者的预后有影响。
