| 秦海燕.双相情感障碍患者自杀行为调查及其影响因素分析.[J].中南医学科学杂志.,2024,(4):567-569. |
| 双相情感障碍患者自杀行为调查及其影响因素分析 |
| Investigation of suicidal behaviors in patients with bipolar disorder and analysis of the influencing factors |
| 投稿时间：2023-11-24 修订日期：2024-03-26 |
| DOI：10.15972/j.cnki.43-1509/r.2024.04.014 |
| 中文关键词: 双相情感障碍 自杀行为 影响因素 调查 |
| 英文关键词:bipolar disorder suicidal behavior influencing factor investigation |
| 基金项目:阜阳市卫生健康委立项科研课题(FY2021-148 ) |
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| 中文摘要: |
| 目的调查双相情感障碍(BD)患者自杀行为,并分析其相关影响因素。 方法选取本院112例BD患者,根据其自杀行为情况,分为有自杀行为组与无自杀行为组,比较两组临床资料,构建Logistic回归分析模型分析BD患者自杀行为影响因素。 结果112例BD患者中,52例(46.43%)有自杀行为,包括有自杀意念31例(27.68%),有自杀企图21例(18.75%)。有自杀行为组女性、双相Ⅱ型、首发症状抑郁、有家族精神障碍史患者占比高于无自杀行为组(P＜0.05),抑郁发作次数多于无自杀行为组(P＜0.05)。Logistic回归分析结果显示,女性、双相Ⅱ型、抑郁发作次数、首发症状抑郁、有家族精神障碍史为BD患者自杀行为危险因素(P＜0.05)。 结论BD患者出现自杀行为的概率较高,其危险因素主要包括女性、双相Ⅱ型、抑郁发作次数、首发症状抑郁、有家族精神障碍史等。 |
| 英文摘要: |
| AimTo investigate the suicidal behaviors in patients with bipolar disorder (BD) and analyze the influencing factors. MethodsA total of 112 patients with BD were investigated. Based on their suicidal behaviors, they were divided into suicidal behavior group and non-suicidal behavior group. Clinical data of the two groups were compared, and Logistic regression analysis was conducted to identify the influencing factors of suicidal behaviors in patients with BD. ResultsAmong the 112 patients with BD, 52(46.43%) patients had suicidal behaviors, including 31(27.68%) patients with suicidal ideation and 21(18.75%) patients with suicidal attempt. The proportions of female patients, patients with bipolar type Ⅱ, initial symptom of depression and a family history of mental disorders in the suicidal behavior group were significantly higher than those in the non-suicidal behavior group (P＜0.05). Logistic regression analysis found that female gender, bipolar type Ⅱ, frequency of depressive episodes, initial symptom of depression and a family history of mental disorders were risk factors for suicidal behaviors in patients with BD (P＜0.05). ConclusionPatients with BD have a higher probability of suicidal behaviors. Female gender, bipolar type Ⅱ, frequency of depressive episodes, initial symptom of depression and a family history of mental disorders are main risk factors. |
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