精神分裂症自杀未遂与冲动性、社会人口学因素 关联分析
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保定市科技计划项目(1951ZF098)


Correlation analysis of suicide attempt with impulsivity and sociodemographic factors in schizophrenia
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    摘要:

    目的 探讨精神分裂症患者自杀未遂与冲动性、社会人口学因素之间的关系。方法 本 研究设计为横断面研究,调查河北省第六人民医院 2018 年 1 月 1 日至 12 月 31 日的 913 例住院精神分裂 症患者,自制一般情况调查表,记录患者的社会人口学资料、疾病特征。通过自杀风险评估量表中“自 杀未遂史”确定患者是否有过自杀未遂,通过冲动行为风险评估表评估患者是否有冲动性,采用单因素 和多因素 Logistic 回归分析对患者的自杀未遂影响因素进行分析。结果 住院精神分裂症患者终生自 杀未遂检出率为12.5%。单因素Logistic回归分析显示,冲动性(OR=2.226,P=0.001)、多次住院(0R=1.103, P=0.012)、吸烟(OR=1.603,P=0.039)为精神分裂症患者出现自杀未遂的相关因素(P< 0.05)。多因素 Logistic 回归分析结果显示,冲动性(0R=2.197,P< 0.001)与精神分裂症自杀未遂具有相关性,社会人口 学因素中女性(OR=2.459,P=0.001)、吸烟(OR=2.630,P=0.001)、多次住院(OR=1.091,P=0.030)与自杀未 遂有关(P< 0.05)。结论 冲动性、女性、多次住院、吸烟的精神分裂症患者自杀风险更高。

    Abstract:

    Objective To explore the relationship of suicide attempt with impulsivity and social demographic factors in schizophrenia patients. Methods This study was designed as a cross-sectional study. A total of 913 patients with schizophrenia admitted to the Sixth People's Hospital of Hebei Province from January 1 to December 31 in 2018 were retrospectively investigated. A self-made questionnaire was used to record the sociodemographic data and disease characteristics of the patients. The "suicide attempt history" in the suicide risk assessment scale was used to determine whether the patient had suicide attempt and the impulsive behavior risk assessment scale was used to assess whether the patient had impulsivity. The influence factors of suicide attempt were analyzed by univariate and multivariate logistic regression. Results The lifetime suicide attempt detection rate of inpatients with schizophrenia was 12.5%. Univariate logistic regression analysis showed that impulsivity (OR=2.226, P=0.001), multiple hospitalization (OR=1.103, P=0.012), and smoking (OR=1.603, P=0.039) were the associated factors of suicide attempt in schizophrenia patients (P < 0.05). Multivariate logistic regression analysis showed that impulsivity (OR=2.197, P < 0.001) was correlated with suicide attempt in schizophrenia. Among sociodemographic factors, female (OR=2.459, P=0.001), smoking (OR=2.630, P=0.001), and multiple hospitalization (OR=1.091, P=0.030) were correlated with suicide attempt in schizophrenia (P<0.05). Conclusions Schizophrenics, who were impulsive, female, hospitalized multiple times, and smoking, were more likely to have a higher risk of suicide

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王艳华 曹美月 赵涛 石贺敏 贾海玲.精神分裂症自杀未遂与冲动性、社会人口学因素 关联分析[J].神经疾病与精神卫生,2021,21(11):
DOI :10.3969/j. issn.1009-6574.2021.11.005.

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  • 在线发布日期: 2021-11-30