Wang Wei, Guo Xin, Kang Lijun, Zhang Nan, Ma Simeng, Cheng Jing, Fang Li, Liu Zhongchun
Department of Psychiatry, Renmin Hospital of Wuhan University, Wuhan, China.
Department of Psychiatry, Jingmen No. 2 People's Hospital, Jingmen, China.
Front Psychiatry. 2022 Jul 1;13:919610. doi: 10.3389/fpsyt.2022.919610. eCollection 2022.
To explore the influence of family-related factors on suicide-related behaviors of patients with major depression disorder, and to provide scientific evidence for effective preventive measures.
A total of 852 outpatients at Renmin Hospital of Wuhan University were enrolled in this cross-sectional study from April 2019 to January 2021. The general demographic information and family-related information of the patients were collected a general information questionnaire, the Family Assessment Device, the Egna Minnen av Barndoms Uppfostran, and the Childhood Trauma Questionnaire.
Participants without suicide-related behaviors accounted for 10.45% of the total sample, those with suicidal ideation accounted for 47.54%, those with suicidal plans accounted for 24.77% and with suicidal attempts for 17.25%. Patients with major depression disorder who have lower education level, who were separated from their parents, who have severely impaired family function, who experienced childhood abuse, and whose parents adopted apathetic and severe child-rearing styles had a higher risk of suicide-related behaviors. In the multivariate regression model, degree of major depression disorder, education and child-rearing style were independent risk factors for suicide-related behaviors.
Patients with major depression disorder who have been separated from their parents, have severely impaired family function, were abused in childhood or have been exposed to improper childrearing styles have a greater risk of suicide. Family-related factors play a predictive role in suicide in patients with major depression disorder. More attention should be paid to family-related factors to reduce the occurrence of suicidal ideation and attempt.
探讨家庭相关因素对重度抑郁症患者自杀相关行为的影响，为有效预防措施提供科学依据。
2019年4月至2021年1月，武汉大学人民医院共852名门诊患者纳入本横断面研究。通过一般信息问卷、家庭评估量表、父母养育方式问卷和儿童期创伤问卷收集患者的一般人口学信息和家庭相关信息。
无自杀相关行为的参与者占总样本的10.45%，有自杀意念的占47.54%，有自杀计划的占24.77%，有自杀未遂的占17.25%。教育程度较低、与父母分离、家庭功能严重受损、经历过童年虐待且父母采用冷漠和严厉养育方式的重度抑郁症患者自杀相关行为风险较高。在多因素回归模型中，重度抑郁程度、教育程度和养育方式是自杀相关行为的独立危险因素。
与父母分离、家庭功能严重受损、童年受虐待或经历不当养育方式的重度抑郁症患者自杀风险更大。家庭相关因素对重度抑郁症患者自杀具有预测作用。应更加关注家庭相关因素，以减少自杀意念和自杀未遂的发生。
