自杀倾向的轨迹在为期2年的早期干预计划的第一次情节精神病:一个纵向研究
Laura Moro1, Roxanne Sicotte2, Ridha Joober3
1Department of Psychology, University of Montreal, Montreal, Canada; Douglas Research Centre, Montreal, Canada.
Psychiatry research
|August 23, 2024
概括
第一次精神病发作的自杀风险各不相同. 一些患者有急性或持续的高自杀念头和企图,在早期干预计划期间需要定制的预防策略.
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
- 神经科学是一个神经科学.
背景情况:
- 在第一发精神病 (FEP) 治疗开始后,自杀念头和尝试 (自杀性) 轨迹尚不清楚.
- 早期干预计划旨在管理精神病症状并改善结果,但自杀风险监测至关重要.
研究的目的:
- 在FEP的2年早期干预计划中检查自杀倾向的个别过程.
- 确定与不同自杀性轨迹相关的社会人口统计学和临床风险因素.
主要方法:
- 隐性类增长建模用于分析两年来450名FEP患者 (18-35岁) 自杀倾向数据.
- 系统文件审查评估了自杀倾向,而社会人口统计学和临床变量是在入院时收集的.
主要成果:
- 确定了三个不同的自杀倾向轨迹:低 (69.6%),最初高 (22.9%),持续高 (7.6%).
- 年龄较小,独自生活,情感精神病诊断预测了最初的高自杀倾向.
- 以前的自杀企图 (3个月内),独自生活,以及较低的PANSS兴奋因子得分预测了持续高的自杀倾向.
结论:
- 在FEP中,自杀风险是异质的,呈现为急性或持久性.
- 根据已识别的风险概况定制自杀预防策略对于FEP有效的早期干预至关重要.
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