在芬兰SUPER研究中,精神障碍患者的自杀行为和自杀想法
Johan Ahti1, Willehard Haaki2,3, Tuula Kieseppä4
1Department of Psychiatry, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.
概括
自杀行为在精神障碍中很常见,特别是那些有情绪成分的精神障碍,如双相情感障碍. 较短的住院时间增加了出院后自我伤害的风险,表明需要更长的住院时间.
科学领域:
- 精神病学和心理健康研究研究
- 精神疾病的流行病学精神疾病的流行病学
- 自杀学是一种自杀学.
背景情况:
- 精神病障碍,包括精神分裂症,精神分裂情绪障碍,双相情感障碍和精神病抑郁症,与更高的自杀风险有关.
- 有限的研究比较了这些疾病中的自杀行为患病率,使用了自我报告和注册数据.
- 住院时间对随后的自杀行为的影响尚不清楚.
研究的目的:
- 为了比较各种精神疾病中自杀行为的流行率.
- 调查诊断类别与自杀行为之间的关联.
- 检查住院时间对出院后自杀行为的影响.
主要方法:
- 利用了来自SUPER-Finland研究 (7067名参与者) 的数据与基于登记的ICD-10诊断.
- 通过自我报告确定了终身自杀行为,并记录了医疗治疗的自我伤害记录.
- 使用后勤回归和生存分析,调整疾病持续时间和童年虐待等共变量.
主要成果:
- 终身自杀企图 (39.1%) 和基于登记的自我伤害 (19.3%) 是普遍存在的.
- 与精神分裂症相比,精神分裂症,双相情感障碍和精神病性抑郁症的自我伤害和自杀企图的患病率明显更高.
- 较短的住院时间与随后自我伤害的风险比率增加有关.
结论:
- 基于登记的自我伤害和自我报告的自杀企图在患病率上显示出明显的差异.
- 自杀行为在精神疾病中非常常见,特别是那些有情绪成分的精神疾病中.
- 在这些患者群体中,非常短的住院可能不足以提供足够的护理.
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