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自杀前的焦虑症状:瑞典全国记录审查
Sabrina Doering1, Sara Probert-Lindström2, Anna Ehnvall3
1Department of Psychiatry and Neurochemistry, Institute of Neuroscience and Physiology, University of Gothenburg, Gothenburg, Sweden.
Journal of affective disorders
|March 29, 2024
概括
在自杀前几周,焦虑症状很常见,这使得记录的风险翻了一番. 这凸显了医生需要评估患者的焦虑和自杀倾向的必要性.
科学领域:
- 精神病学是一个精神病学.
- 公共卫生 公共卫生
- 医疗记录分析 医疗记录分析
背景情况:
- 关于焦虑与自杀行为之间的联系,研究结果有限且不一致.
- 自杀前的焦虑和自杀倾向的医生文档研究不足.
研究的目的:
- 调查医生是否在自杀前记录了患者的焦虑症状和自杀倾向.
- 确定焦虑症状与死亡前几周和几个月记录的自杀风险之间的关联.
主要方法:
- 2015年瑞典全国确认自杀的医疗记录审查 (N=956).
- 包括自杀前12个月内咨询过医生的个人.
- 临床特征的比较和对焦虑症状和自杀风险的几率比率的计算.
主要成果:
- 在自杀前一周,50%的个体发现了焦虑症状.
- 焦虑与高水平的抑郁症,物质使用,睡眠困难和疲劳有关.
- 在死亡前一周,焦虑症状的几率翻了一番,甚至在调整情绪障碍后,死亡前一周记录了自杀风险升高的几率.
结论:
- 在自杀前的时期,焦虑症状普遍存在,并且与已记录的自杀风险增加相关.
- 研究结果强调了在临床实践中评估焦虑症状与自杀风险的重要性.
- 结果与精神病学家,非精神病学专家和全科医生相关.
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