UGC Salud Mental, Hospital Universitario Virgen Macarena, Sevilla, Spain.
UGC Salud Mental, Hospital San Juan de la Cruz, Úbeda, Spain.
Psychiatry Res. 2018 Nov;269:414-418. doi: 10.1016/j.psychres.2018.08.036. Epub 2018 Aug 23.
Several authors have reported high rates of suicidal behaviour in acute and transient psychotic disorders (ATPD). However, the literature in this area remains scarce. We wanted to find out whether there are predictors of suicidal behaviour in ATPD. Of 1032 psychosis admissions examined over a five-year period, ATPD was confirmed in 39 patients according to the International Classification of Diseases (ICD-10) diagnostic criteria. These patients were classified as suicidal behaviour (20.5%) or non-risk (79.5%) using a structured interview to assess suicidal risk. The following variables were analysed: previous history of suicide attempt or deliberate self-harm, history of depressive episodes, previous substance use history, education, ATPD subtype (polymorphic vs. non-polymorphic), type of onset (abrupt vs. acute), and presence of associated acute stress. Multivariate analysis revealed that acute stress and substance use are significantly associated with suicidal behaviour in ATPDs. To our knowledge, this is the first study identifying independent risk factors that could predict suicidal behaviour in individuals with ATPD.
多位作者报告称，急性短暂性精神病性障碍（ATPD）患者的自杀行为发生率较高。然而，该领域的文献仍然很少。我们想了解 ATPD 是否存在自杀行为的预测因素。在五年期间检查的 1032 例精神病住院患者中，根据《国际疾病分类》（ICD-10）诊断标准，39 例被确诊为 ATPD。这些患者通过结构化访谈评估自杀风险，分为有自杀行为（20.5%）或无风险（79.5%）。分析了以下变量：自杀未遂或故意自残的既往史、抑郁发作史、既往物质使用史、教育程度、ATPD 亚型（多形性与非多形性）、发病类型（突然与急性）以及急性应激的存在。多变量分析显示，急性应激和物质使用与 ATPD 中的自杀行为显著相关。据我们所知，这是第一项确定独立风险因素的研究，这些因素可以预测 ATPD 患者的自杀行为。
