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墨西哥人群 2 型糖尿病患者自杀未遂的风险因素和流行率。

Risk Factors and Prevalence of Suicide Attempt in Patients with Type 2 Diabetes in the Mexican Population.

机构信息

División Académica Multidisciplinaria de Comalcalco, Universidad Juárez Autónoma de Tabasco, Comalcalco 86025, Tabasco, Mexico.

División Académica Multidisciplinaria de Jalpa de Méndez, Universidad Juárez Autónoma de Tabasco, Jalpa de Méndez 86200, Tabasco, Mexico.

出版信息

Int J Environ Res Public Health. 2018 Jun 7;15(6):1198. doi: 10.3390/ijerph15061198.

Abstract

BACKGROUND

It has been proposed that the risk of death by suicide is higher in patients with diabetes than in the general population. Therefore, it is necessary to investigate the risk factors of suicidal behavior in patients with type 2 diabetes. The aim of the present study was to analyze the prevalence of suicide attempt and determine the risk factors of suicide attempt, in patients with type 2 diabetes in a Mexican population.

METHODS

Clinic characteristics, anthropometric measurements, biochemical levels, depression, and suicidal behavior were evaluated in 185 Mexican patients with type 2 diabetes. A multivariate logistic regression analysis was performed to find predictive factors of suicide attempt.

RESULTS

11.4% of patients reported previous suicide attempts n = 21). Younger patients (OR: 3.63, 95% CI: 1.29⁻10.19), having depression (OR: 3.33, 95% CI: 1.13⁻9.76) and normal BMI (OR: 3.14, 95% CI: 1.11⁻8.83), were predictive factors of suicide attempt. No other variables in the study showed statistical significance.

CONCLUSIONS

Our results showed a high prevalence of suicidal behavior in patients with type 2 diabetes. We found that younger age, depression and normal BMI could be risk factors of suicide attempt in these patients. Therefore, psychiatric interventions to prevent depression and suicidal behavior in this population are necessary. New studies using larger samples are necessary to replicate and confirm these results.

摘要

背景

有研究提出,糖尿病患者的自杀死亡风险高于普通人群。因此,有必要研究 2 型糖尿病患者自杀行为的危险因素。本研究旨在分析墨西哥人群中 2 型糖尿病患者自杀未遂的发生率,并确定自杀未遂的危险因素。

方法

对 185 例墨西哥 2 型糖尿病患者的临床特征、人体测量学指标、生化水平、抑郁和自杀行为进行评估。采用多变量逻辑回归分析寻找自杀未遂的预测因素。

结果

11.4%的患者(n=21)报告有自杀未遂史。年轻患者(OR:3.63,95%CI:1.29⁻10.19)、抑郁(OR:3.33,95%CI:1.13⁻9.76)和正常 BMI(OR:3.14,95%CI:1.11⁻8.83)是自杀未遂的预测因素。研究中的其他变量均无统计学意义。

结论

本研究结果显示,2 型糖尿病患者自杀行为发生率较高。我们发现,年龄较小、抑郁和正常 BMI 可能是这些患者自杀未遂的危险因素。因此,有必要对该人群进行精神干预以预防抑郁和自杀行为。需要进行更大样本量的新研究来复制和确认这些结果。

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