Younis Maha Sulaiman, Kamal Marwa Mohamed, Arafat S M Yasir
Department of Psychiatry College of Medicine, University of Baghdad Baghdad Iraq.
The Scientific Council of Psychiatry, The Iraqi Council of Medical Specializations Baghdad Iraq.
Health Sci Rep. 2025 Mar 5;8(3):e70517. doi: 10.1002/hsr2.70517. eCollection 2025 Mar.
Mental illness is an important risk factor for suicidal ideation. However, little has been known about the burden and associated factors of suicidal ideation among persons with psychiatric disorders in Iraq. We aim to investigate the rate and the associated demographic and clinical factors of suicidal ideation among persons with mental illness in Iraq.
Data were collected from 388 persons with mental disorders from psychiatric outpatient clinics in Baghdad in 2023 for this cross-sectional study. The instrument contained socio-demographic and clinical variables, and the (C-SSRS). A descriptive analysis was conducted using the Chi-square test to determine the relationships in which a significance level of 0.05 was considered.
Among the 388 respondents, 67% were males, and about half of the patients were younger than 40 years old. Affective (49.8%) and psychotic disorders (17.5%) were the most common mental disorders. The prevalence of suicidal ideation was 37.1% in the last year. The majority of suicidal ideation fell into a low severity range on the C-SSRS, particularly for patients who had no prior history of suicidal behavior. Suicidal ideation was significantly associated with female gender, crowded accommodations experiencing recent psychological trauma, presence of a family history of mental disorder, and family history of suicidal behavior.
Suicidal ideation was present in more than one-third of persons with psychiatric disorders. Policy-level implications could be warranted during regular appointments of psychiatric patients to identify risky individuals in outpatient settings.
精神疾病是自杀意念的重要危险因素。然而，对于伊拉克患有精神疾病的人群中自杀意念的负担及相关因素，人们了解甚少。我们旨在调查伊拉克患有精神疾病的人群中自杀意念的发生率及其相关的人口统计学和临床因素。
2023年，我们从巴格达的精神科门诊收集了388名精神障碍患者的数据用于这项横断面研究。该调查工具包含社会人口统计学和临床变量，以及哥伦比亚自杀严重程度评定量表（C-SSRS）。采用卡方检验进行描述性分析，以确定关系，显著性水平设定为0.05。
在388名受访者中，67%为男性，约一半患者年龄小于40岁。情感障碍（49.8%）和精神障碍（17.5%）是最常见的精神疾病。去年自杀意念的患病率为37.1%。在C-SSRS上，大多数自杀意念的严重程度较低，尤其是对于既往无自杀行为史的患者。自杀意念与女性性别、居住拥挤、近期经历心理创伤、有精神障碍家族史以及自杀行为家族史显著相关。
超过三分之一的精神疾病患者存在自杀意念。在定期门诊诊治精神科患者时，可能需要从政策层面采取措施，以便在门诊环境中识别有风险的个体。
