随着时间的推移,六年课程以及抑郁症老年患者自杀念头的预测因素
Marij Zuidersma1, Ymkje Anna de Vries2, Ista C H M Bogers1
1University of Groningen, University Medical Centre Groningen, Department of Psychiatry, Interdisciplinary Centre Psychopathology and Emotion regulation (ICPE), 9700 RB Groningen, the Netherlands.
Journal of affective disorders
|October 31, 2024
概括
确定了抑郁老年人长期自杀念头的预测因素. 这些想法甚至在抑郁症缓解后也会持续存在,需要临床警.
科学领域:
- 老年精神病学是一门精神病学专业.
- 心理健康研究 心理健康研究
- 纵向研究 纵向研究
背景情况:
- 了解患有抑郁症的老年人长期自杀思想和想法的预测因素至关重要.
- 自杀念头在老年人群中构成重大风险.
研究的目的:
- 在患有抑郁症的老年人中识别自杀念头的不同轨迹.
- 检查这些轨迹的预测因素及其与六年内抑郁症状的过程之间的关系.
主要方法:
- 隐性类增长分析被用来识别基于自杀念头轨迹的子组.
- 378名患有抑郁症的老年人在基线,2年和6年被评估,每6个月测量一次症状严重程度.
主要成果:
- 确定了五种自杀念头的轨迹:严重的短暂,严重的持续,轻微的增加,中度的持续和没有想法.
- 抑郁症缓解2年和6年后,22.7%和17.4%的人仍然有自杀念头.
- 孤独,童年创伤,先前的自杀行为,较低的开放性,早期的抑郁症发作,焦虑和不良掌握预测了更糟糕的轨迹.
结论:
- 自杀念头的轨迹与抑郁过程有关,但可以在缓解后持续存在.
- 临床医生必须保持警自杀念头或死亡愿望,即使在患者的抑郁症已经缓解.
- 局限性包括高退学率和死亡和自杀念头之间没有区别.
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