自杀想法和艾滋病毒检测
S Perry1, L Jacobsberg, B Fishman
1Cornell University Medical College, New York Hospital, NY.
JAMA
|February 2, 1990
概括
人类免疫缺陷病毒 (HIV) 抗体测试没有增加无症状个体的自杀念头. 在测试和咨询后,血清阳性和血清阴性组的自杀念头率都下降了.
科学领域:
- 精神病学是一个精神病学.
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
背景情况:
- 自杀念头是人类免疫缺陷病毒 (HIV) 风险较高的人群的一个重大问题.
- 了解HIV抗体检测对心理的影响对于患者护理和公共卫生战略至关重要.
研究的目的:
- 评估艾滋病毒抗体测试对无症状,高危人群自杀念头的影响.
- 评估艾滋病毒检测和咨询后自杀念头的变化.
主要方法:
- 一组301个人 (244名男性,57名女性) 处于感染艾滋病毒的感知风险,接受了抗体检测.
- 贝克抑郁症库存 (BDI) 在基线,一周和通知后2个月进行了管理.
- 所有参与者都接受了全面的测试前和测试后咨询.
主要成果:
- 在49名病毒阳性受试者中,自杀念头率从入院时的28.6%下降到2个月后的16.3%,没有观察到增加.
- 在252名血清阴性患者中,自杀念头从入院时的30.6%下降到2个月后的15.9%.
- 自杀念头与修改的BDI得分相关 (r = .50.55).
结论:
- 艾滋病毒抗体检测,加上广泛的咨询,似乎不会提高无症状,处于危险的个体的自杀念头.
- 对于接受艾滋病毒检测的人来说,心理支持至关重要,因为自杀念头和抑郁症得分之间的相关性表明了这一点.
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