Department of Cardiology, Fırat University, Faculty of Medicine, Elazıg, Turkey.
Department of Psychiatry, Fırat University, Faculty of Medicine, Elazıg, Turkey.
J Clin Neurosci. 2019 Oct;68:51-54. doi: 10.1016/j.jocn.2019.07.062. Epub 2019 Jul 30.
Heart failure is a chronic disease that impairs the quality of life and leads to several psychiatric disorders, especially depression and anxiety. The present study intended to investigate suicide risk and its association with depression, hopelessness and self-esteem in patients with chronic heart failure. 32 patients with chronic heart failure and 32 healthy control subjects with similar sociodemographic attributes were included in the present case control study. Sociodemographic data form, Beck Hopelessness Scale (BHS), Beck Depression Inventory (BDI), Rosenberg Self-Esteem Scale (RSE) and Suicide Probability Scale (SPS) were applied to all subjects. It was determined that the BHS (11.4 ± 3.74 vs. 4.8 ± 4.02, p < 0.001), BDI (22.2 ± 11.9 vs 9.2 ± 7.6, p < 0.001) and SPS (67.6 ± 15.9 vs 59.2 ± 10.9, p = 0.018) scores were statistically higher in the patient group when compared to the control group. It was also established that the self-esteem of subjects in the patient group was lower when compared to the control (p < 0.001). A positive correlation was determined between the SPS and BHS, and BDI and RSE scores (p < 0.001). Suicide risk was higher among the patients with heart failure when compared to the control group. This increase in suicide risk significantly correlated with high levels of hopelessness, depression, and low self-esteem in the patient group. Heart failure is one of the chronic diseases that increases suicidal ideation. The identification of suicidal ideation in the present patient group facilitated both the prevention of suicidal behavior and positive contribution to treatment.
心力衰竭是一种慢性疾病，会降低生活质量，并导致多种精神障碍，尤其是抑郁和焦虑。本研究旨在探讨慢性心力衰竭患者的自杀风险及其与抑郁、绝望和自尊的关系。本病例对照研究纳入了 32 例慢性心力衰竭患者和 32 名具有相似社会人口统计学特征的健康对照组。对所有受试者进行了社会人口统计学资料表、贝克绝望量表（BHS）、贝克抑郁量表（BDI）、罗森伯格自尊量表（RSE）和自杀概率量表（SPS）评估。结果显示，与对照组相比，患者组的 BHS（11.4±3.74 与 4.8±4.02，p<0.001）、BDI（22.2±11.9 与 9.2±7.6，p<0.001）和 SPS（67.6±15.9 与 59.2±10.9，p=0.018）评分明显更高，且患者组的自尊明显低于对照组（p<0.001）。还确定了 SPS 与 BHS 和 BDI 与 RSE 评分之间存在正相关（p<0.001）。与对照组相比，心力衰竭患者的自杀风险更高。这种自杀风险的增加与患者组中较高的绝望、抑郁和较低的自尊水平显著相关。心力衰竭是增加自杀意念的慢性疾病之一。本研究中患者组自杀意念的识别既有助于预防自杀行为，又有助于积极治疗。
