再次尝试自杀的危险因素:为期两年的前性研究
B Nobile1, I Jaussent2, J P Kahn3
1Department of Emergency Psychiatry and Acute Care, CHU, Montpellier, France; IGF, Univ. Montpellier, CNRS, INSERM, Montpellier, France; FondaMental Foundation, France.
Journal of affective disorders
|April 24, 2024
概括
确定再次尝试自杀的危险因素至关重要. 最近有自杀企图 (SA) 的患者,表现出两到三种人格特征 (焦虑,愤怒,焦虑可变性) 并且没有暴力SA病史的患者,再次尝试的风险更高.
科学领域:
- 精神病学是一个精神病学.
- 临床心理学 临床心理学
- 流行病学 流行病学
背景情况:
- 自杀尝试 (SA) 的历史是未来SA和自杀的最强有力的预测因素.
- 确定再次自杀的额外危险因素对于干预至关重要.
- 这项研究旨在确定近期SA.患者中再次自杀的危险因素.
研究的目的:
- 确定近期SA的成年住院患者中自杀再尝试的危险因素.
- 分析心理层面及其与再次自杀企图的关联.
- 为高风险个体提供临床监测和向治疗的信息.
主要方法:
- 针对近期SA患者的成年住院患者的多中心队列研究.
- 用验证的工具评估心理层面.
- 集群分析用于识别主要人格特征 (焦虑,愤怒,焦虑可变性); 考克斯回归用于风险因素分析.
主要成果:
- 在379名患者中,26.4%的人再次尝试自杀,1.6%的人死于自杀.
- 重复自杀的主要危险因素包括没有暴力SA史和2-3个性格特征 (焦虑,愤怒,焦虑可变性) 的存在.
- 这三个人格特征的存在是情绪障碍患者重新尝试的重要预测因素.
结论:
- 没有暴力SA史和特定的性格特征 (焦虑,愤怒,焦虑不稳定性) 是再次自杀企图的关键预测因素.
- 建议对有这些特征的患者进行密切监测和向治疗,特别是对焦虑的治疗.
- 需要进一步的研究,以了解随访期间治疗变化对再试药率的影响.
相关概念视频
Psychological and Sociocultural Causes of Schizophrenia
84
Schizophrenia, a complex psychiatric disorder, has been historically misunderstood. Early psychological theories attributed its origins to childhood trauma and unresponsive parenting. However, contemporary research largely rejects these notions, favoring the vulnerability-stress hypothesis. This model proposes that individuals with a genetic predisposition to schizophrenia may develop the disorder following exposure to significant environmental stressors. Notably, studies on high-risk...
84
Longitudinal Research
12.0K
Sometimes we want to see how people change over time, as in studies of human development and lifespan. When we test the same group of individuals repeatedly over an extended period of time, we are conducting longitudinal research. Longitudinal research is a research design in which data-gathering is administered repeatedly over an extended period of time. For example, we may survey a group of individuals about their dietary habits at age 20, retest them a decade later at age 30, and then again...
12.0K
Assumptions of Survival Analysis
125
Survival models analyze the time until one or more events occur, such as death in biological organisms or failure in mechanical systems. These models are widely used across fields like medicine, biology, engineering, and public health to study time-to-event phenomena. To ensure accurate results, survival analysis relies on key assumptions and careful study design.
125
Self-Presentation: Self-Monitoring and Self-Handicapping
39.0K
People can go to great lengths to protect their self-image and present themselves in ways that they want others to see them. Sociologist Erving Goffman presented the idea that a person is like an actor on a stage. Calling his theory dramaturgy, Goffman believed that we use “impression management” to present ourselves to others as we hope to be perceived. Each situation is a new scene, and individuals perform different roles depending on who is present (Goffman, 1959). Think about...
39.0K
Actuarial Approach
77
The actuarial approach, a statistical method originally developed for life insurance risk assessment, is widely used to calculate survival rates in clinical and population studies. This method accounts for participants lost to follow-up or those who die from causes unrelated to the study, ensuring a more accurate representation of survival probabilities.
Consider the example of a high-risk surgical procedure with significant early-stage mortality. A two-year clinical study is conducted,...
Consider the example of a high-risk surgical procedure with significant early-stage mortality. A two-year clinical study is conducted,...
77
Depressive Disorders: Etiology
71
Depressive disorders result from a complex interplay of biological, psychological, and sociocultural factors, each contributing uniquely to the development and persistence of the condition. Understanding these factors provides critical insight into the multifaceted nature of depression.
Biological Factors in Depression
Biological predispositions significantly influence the risk of developing depressive disorders. Genetic studies highlight the role of variations in the serotonin transporter...
Biological Factors in Depression
Biological predispositions significantly influence the risk of developing depressive disorders. Genetic studies highlight the role of variations in the serotonin transporter...
71


