在COVID-19大流行期间,患有当前抑郁情节的患者有自杀风险
Mikhail Zinchuk1, Georgii Kustov1, Massimiliano Beghi2
1Moscow Research and Clinical Center for Neuropsychiatry, Moscow, Russia.
Frontiers in psychiatry
|May 10, 2024
概括
在COVID-19大流行期间,年轻的年龄,严重的抑郁和非自杀性自伤 (NSSI) 是主要的危险因素严重的自杀风险在严重抑郁症 (MDD) 患者. 这些发现突出了心理健康护理干预的关键领域.
科学领域:
- 精神病学和心理健康 精神病学和心理健康
- 流行病学 流行病学
- 公共卫生 公共卫生
背景情况:
- 在COVID-19大流行期间,主要抑郁障碍 (MDD) 的发生率增加.
- 在此期间,MDD患者中自杀风险的数据有限.
- 了解这些风险对于公共卫生干预至关重要.
研究的目的:
- 在COVID-19大流行期间确定俄罗斯MDD住院患者中严重自杀风险的流行率.
- 在这个人群中确定与严重自杀风险相关的变量.
- 检查之前感染SARS-CoV-2的患者的关联.
主要方法:
- 从2021年1月1日到2021年12月31日进行了一项横截面队列研究.
- 迷你国际神经精神病学面试 (M.I.N.I.I. ),贝克抑郁症清单和州际焦虑清单进行了管理.
- 半结构面试收集了人口统计和临床数据;效果大小是使用部分eta平方 (ηp2) 计算的.
主要成果:
- 在1605名MDD患者中,17.8%面临严重的自杀风险.
- 独立的风险因素包括年轻年龄,更严重的抑郁症,更高的状态焦虑和非自杀性自伤 (NSSI).
- 在大流行期间,NSSI是MDD患者自杀的一个特别重要的风险因素.
结论:
- 在大流行期间,MDD患者中严重自杀风险的患病率与大流行前的水平相当.
- 没有发现自杀倾向和COVID相关因素之间的直接关联.
- 年龄较小,抑郁症严重程度和NSSI仍然是MDD自杀预防策略的关键目标.
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