身体症状障碍,精神疾病并发症和自杀
Ju-Wei Hsu1, Wei-Chen Lin1, Shih-Jen Tsai1
1Department of Psychiatry, Taipei Veterans General Hospital, Taipei, Taiwan; Department of Psychiatry, College of Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan.
Journal of affective disorders
|January 2, 2025
概括
身体症状障碍 (SSD) 独立地增加了自杀风险. 像严重抑郁症这样的并发症进一步提高了这种风险,突出了针对SSD和相关心理健康状况的综合自杀预防策略的需要.
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:
- 身体症状障碍 (SSD) 与自杀念头有关,但其与自杀死亡率的关联不清楚.
- 精神伴随性疾病 (如双相情感障碍和重度抑郁症) 对SSD患者自杀风险的影响尚不清楚.
研究的目的:
- 调查体征性症状障碍 (SSD) 与自杀死亡率之间的关联.
- 确定主要精神病的共同疾病对SSD患者自杀风险的影响.
主要方法:
- 一项纵向研究从2003年至2017年跟踪了38483名SSD患者和153932名非SSD对照.
- 时间依赖的考克斯回归模型被用于评估自杀风险,调整主要精神疾病,包括精神分裂症,双相情感障碍,严重抑郁症,AUD和SUD.
主要成果:
- 与非SSD患者相比,SSD患者的自杀风险显著更高 (HR=3.41),无论伴随疾病如何.
- 患有精神分裂症 (HR=5.55),双相情感障碍 (HR=5.99) 和严重抑郁症 (HR=10.24) 等并发症的SSD患者面临着大幅增加的自杀风险.
结论:
- 身体症状障碍 (SSD) 是自杀的独立风险因素.
- 综合自杀预防策略应考虑SSD及其相关的精神病并发症.
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