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精神分裂症、抑郁症、双相障碍患者自杀风险比较及相关因素

罗传琳卢瑾周艳萍高长青董青蔡德芳杨润许张婷婷黄悦勤李媛媛刘肇瑞何燕玲周亮刘波章杰龚元东刘燕

中国心理卫生杂志2024，Vol.38Issue(1)：1-8,8.

中国心理卫生杂志2024，Vol.38Issue(1)：1-8,8.DOI:10.3969/j.issn.1000-6729.2024.01.001

精神分裂症、抑郁症、双相障碍患者自杀风险比较及相关因素

Comparison and related factors of suicide risk among patients with schizophrenia,major depressive disorder,and bipolar disorder

罗传琳 ¹卢瑾 ²周艳萍 ¹高长青 ³董青 ⁴蔡德芳 ⁵杨润许 ²张婷婷 ⁶黄悦勤 ⁶李媛媛 ⁶刘肇瑞 ⁶何燕玲 ⁷周亮 ⁸刘波 ⁹章杰 ¹⁰龚元东 ¹¹刘燕¹²

作者信息

1. 普洱市第二人民医院,云南普洱 665000
2. 昆明医科大学第一附属医院,昆明 650032
3. 云南省精神病医院,昆明 650224
4. 楚雄州第二人民医院,云南楚雄 675000
5. 云南省玉溪市第二人民医院,云南玉溪 653100
6. 北京大学第六医院,北京大学精神卫生研究所,国家卫生健康委员会精神卫生学重点实验室(北京大学),国家精神心理疾病临床医学研究中心(北京大学第六医院),北京 100083
7. 上海市精神卫生中心,上海 200030
8. 广州医科大学附属脑科医院,广州 510370
9. 荆州市精神卫生中心,湖北荆州 434000
10. 中山市第三人民医院,中山市心理卫生中心,广东中山 528451
11. 山东省精神卫生中心,济南 250014
12. 济宁医学院,山东济宁 272013
折叠

摘要

Abstract

Objective:To describe and analyze suicide risk of patients with schizophrenia,major depressive disorder,and bipolar disorder.Methods:A total of 2 016 patients with schizophrenia,903 patients with major de-pressive disorder,and 381 patients with bipolar disorder from inpatients,clinics,or communities who met the diag-nostic criteria of the Diagnostic and Statistical Manual of Mental Disorders,Fifth Edition were recruited.All patients were interviewed by psychiatrists using the Mini International Neuropsychiatric Interview to diagnose mental disor-ders and assess suicide risk,as well as Clinical-Rated Dimensions of Psychosis Symptom Severity(CRDPSS)to as-sess symptoms.Differences and risk factors of suicide risk among three types of mental disorders were explored u-sing multivariate logistic regression analysis.Results:In the past one month,37 patients with schizophrenia(1.8％),516 patients with major depressive disorder(57.1％),and 102 patients with bipolar disorder(26.8％)had suicide risk.Compared with patients with schizophrenia,suicide risk in patients with major depressive disorder(OR=36.50)and bipolar disorder(OR=20.10)increased.Female(OR=1.87),smoking(OR=1.76),family history of suicide(OR=5.09),higher score of CRDPSS hallucination(OR=1.80),and higher score of CRDPSS depression(OR=1.54)were risk factors of suicide risk of patients.Conclusions:Suicide risk of patients with ma-jor depressive disorder and bipolar disorder is higher than that of patients with schizophrenia.In clinical practice,it is important to regularly assess suicide risk of patients.Patients who experience symptoms of hallucination and de-pression should be paid more attention to.

关键词

精神分裂症/抑郁症/双相障碍/自杀/精神病性症状

Key words

schizophrenia/major depressive disorder/bipolar disorder/suicide/psychotic symptoms

分类

临床医学

引用本文复制引用

罗传琳,卢瑾,周艳萍,高长青,董青,蔡德芳,杨润许,张婷婷,黄悦勤,李媛媛,刘肇瑞,何燕玲,周亮,刘波,章杰,龚元东,刘燕..精神分裂症、抑郁症、双相障碍患者自杀风险比较及相关因素[J].中国心理卫生杂志,2024,38(1):1-8,8.

基金项目

国家重点研发计划(2017YFC0907800) （2017YFC0907800）

中国心理卫生杂志

OACHSSCDCSTPCD

ISSN：1000-6729

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