Tae Hyejin, Chae Jeong-Ho
Stress Clinic, Health Promotion Center, Seoul St. Mary's Hospital, The Catholic University of Korea, Seoul, South Korea.
Department of Psychiatry, Seoul St. Mary's Hospital, The Catholic University of Korea, Seoul, South Korea.
Front Psychiatry. 2021 Mar 29;12:565358. doi: 10.3389/fpsyt.2021.565358. eCollection 2021.
The purpose of this article was to identify independent factors associated with suicide attempts in patients with depression and/or anxiety. This study was conducted in order to examine whether risk and protective psychological factors influence the risk of suicide attempts among outpatients with anxiety and/or depressive disorders. In this regard, explanatory models have been reported to detect high-risk groups for suicide attempt. We also examined whether identified factors serve as mediators on suicide attempts. Patients from 18 to 65 years old from an outpatient clinic at Seoul St. Mary's Hospital were invited to join clinical studies. From September 2010 to November 2017, a total of 737 participants were included in the final sample. The Beck Depression Inventory (BDI), State-Trait Anxiety Inventory (STAI), Childhood Trauma Questionnaire (CTQ), Functional Assessment of Chronic Illness Therapy-Spiritual Well-being Scale (FACIT-Sp-12), and Functional Social Support Questionnaire (FSSQ) were used to assess psychiatric symptoms. An independent samples -test, a chi-square test, hierarchical multiple regression analyses, and the Baron and Kenny's procedures were performed in order to analyze data. Young age, childhood history of emotional and sexual abuse, depression, and a low level of spirituality were significant independent factors for increased suicide attempts. Depression was reported to mediate the relationship between childhood emotional and sexual abuse, spirituality, and suicide attempts. Identifying the factors that significantly affect suicidality may be important for establishing effective plans of suicide prevention. Strategic assessments and interventions aimed at decreasing depression and supporting spirituality may be valuable for suicide prevention.
本文旨在确定与抑郁和/或焦虑患者自杀未遂相关的独立因素。本研究旨在探讨风险和保护性心理因素是否会影响焦虑和/或抑郁障碍门诊患者的自杀未遂风险。在这方面，已有报告称解释模型可用于检测自杀未遂的高危人群。我们还研究了已确定的因素是否在自杀未遂中起中介作用。邀请了首尔圣母医院门诊18至65岁的患者参加临床研究。从2010年9月至2017年11月，共有737名参与者纳入最终样本。使用贝克抑郁量表（BDI）、状态-特质焦虑量表（STAI）、儿童创伤问卷（CTQ）、慢性病治疗功能评估-精神幸福感量表（FACIT-Sp-12）和功能性社会支持问卷（FSSQ）来评估精神症状。为了分析数据，进行了独立样本t检验、卡方检验、分层多元回归分析以及巴伦和肯尼程序。年轻、童年期情感和性虐待史、抑郁以及低水平的精神性是自杀未遂增加的显著独立因素。据报告，抑郁在童年期情感和性虐待、精神性与自杀未遂之间的关系中起中介作用。识别显著影响自杀倾向的因素对于制定有效的自杀预防计划可能很重要。旨在减轻抑郁和支持精神性的策略性评估和干预措施可能对自杀预防有价值。
