囤积障碍成年人的自杀念头和行为
Suicidal thoughts and behaviors in adults with hoarding disorder.
作者信息
Gil-Hernández Dariana, McCarthy Elizabeth, Avanesyan Tatevik, Mukunda Pavithra, Ortiz Marcos, Frost Randy O, van Roessel Peter J, Berk Michele S, Rodriguez Carolyn I
机构信息
Department of Psychiatry and Behavioral Sciences, Stanford University, Stanford, CA, USA.
Smith College, Northampton, MA, USA.
出版信息
Compr Psychiatry. 2025 Jan;136:152539. doi: 10.1016/j.comppsych.2024.152539. Epub 2024 Oct 18.
BACKGROUND
Hoarding disorder (HD) is characterized by difficulty discarding possessions and clutter that impairs daily functioning. Previous research has demonstrated a high correlation between hoarding behaviors and suicidal thoughts and behaviors; however, there is limited research on suicidal thoughts and behaviors in individuals meeting Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) criteria for HD. Our aim in this study was to report our findings about suicidal thoughts and behaviors in a HD sample.
METHODS
We used existing data from participants meeting DSM-5 criteria for HD (n = 99). Data about suicidal thoughts and behaviors was collected using a structured instrument, the Columbia-Suicide Severity Rating Scale (C-SSRS).
RESULTS
Among the 99 participants, 49.5 % and 26.3 % had passive and active suicidal ideation (SI), respectively. Of those with active ideation, 11 participants endorsed thinking about overdose during their most severe SI. 13 participants reported attempting suicide at least once in their lifetime.
CONCLUSIONS
To our knowledge, this is the first study examining suicidal thoughts and behaviors in HD using the structured assessment C-SSRS. In this HD data set, participants reported suicidal thoughts and behaviors at higher rates than the general U.S.
POPULATION
Our study highlights the importance of screening for suicidal thoughts and behaviors in individuals with HD.
背景
囤积障碍（HD）的特征是难以丢弃物品以及杂物堆积，这会损害日常功能。先前的研究表明囤积行为与自杀念头及行为之间存在高度相关性；然而，对于符合《精神疾病诊断与统计手册》第五版（DSM - 5）中囤积障碍标准的个体的自杀念头及行为的研究有限。我们这项研究的目的是报告我们在一个囤积障碍样本中关于自杀念头及行为的研究结果。
方法
我们使用了来自符合DSM - 5中囤积障碍标准的参与者（n = 99）的现有数据。关于自杀念头及行为的数据是使用一种结构化工具——哥伦比亚自杀严重程度评定量表（C - SSRS）收集的。
结果
在这99名参与者中，分别有49.5%和26.3%的人有被动和主动自杀意念（SI）。在有主动意念的人中，11名参与者在其最严重的自杀意念期间认可有过量服药的想法。13名参与者报告一生中至少有过一次自杀未遂。
结论
据我们所知，这是第一项使用结构化评估工具C - SSRS研究囤积障碍患者自杀念头及行为的研究。在这个囤积障碍数据集中，参与者报告的自杀念头及行为发生率高于美国普通人群。我们的研究强调了对囤积障碍患者进行自杀念头及行为筛查的重要性。
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