北京50家综合医院门诊患者自杀意念及自杀未遂调查-Survey of suicidal ideation and suicide attempts in outpatients at 50 gener

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梁烨,姜春玲,王志青,王向群,费立鹏.北京50家综合医院门诊患者自杀意念及自杀未遂调查[J].Chinese journal of Epidemiology,2006,27(1):19-24 北京50家综合医院门诊患者自杀意念及自杀未遂调查 Survey of suicidal ideation and suicide attempts in outpatients at 50 general hospitals in Beijing Received:June 23, 2005 KeyWord : 自杀未遂自杀意念综合医院流行病学调查 English Key Word : Suicide attempt Suicidal ideation General hospitals Epidemiological survey FundProject : 北京市科委课题基金资助项目(H010910130112)

Author Name	Affiliation	E-mail
Liang Ye	Beijing HuilongguanHospital
Jiang Chunling	Beijing HuilongguanHospital
Wang Zhiqing	Beijing HuilongguanHospital
Wang Xiangqun	Beijing Suicide Research and Prevention Center , Beijing 100096 , China
Fei Lipeng	Beijing HuilongguanHospital	phillipschina@126.com

Hits : 3129 Download times : 875 Abstract : 目的了解北京市综合医院门诊患者的自杀意念和自杀未遂出现率及其危险因素。方法采用自制量表对随机抽取的北京市50家各级综合医院2877例门诊患者进行调查,通过logistic分析筛选出其危险因素。结果自杀意念和自杀未遂终生发生率分别为6.08%和1.18%;多因素分析显示两者的共同危险因素为近一年有绝望感、年纪轻、熟人有过自杀行为、女性。结论北京市综合医院门诊就诊患者经常有自杀危险、抑郁等心理问题;应培养普通门诊医务人员识别、评估和处理这类问题的技能。 English Abstract : Objective Describe the prevalence and risk factors for suicidal ideation and suicide attempt among outpatients at general hospitals in Beijing. Methods Trained psychiatric nurses obtained data about the characteristics of suicidal thoughts and suicide attempts from 2877 persons 15 years of age or older who wereconsecutive outpatients at 35 level21, 8 level22 and 7 level23 general hospitals selected from all hospitals in Beijingby stratified random sampling. Logistic regression analysis was used to identify risk factors for suicidal ideation andsuicide attempt. Results The lifetime prevalence of suicidal ideation and suicide attempt were 6. 08 %(95 %CI :5. 25 %27. 25 %) and 1. 18 % (0. 82 %21. 65 %), respectively. Mutivariate logistic analysis found that the most important risk factors for suicidal ideation were hopelessness in the prior year ( OR = 7. 96), current depression (OR = 3. 41), younger age ( OR for < 35 = 2. 83 ; OR for 35255 = 2. 08), having a blood relative with prior suicidal behavior ( OR = 2. 58),and so forth ;the most important risk factors for suicide attempt were younger age ( OR for < 35 = 4. 96 ; OR for 35255 = 4. 40), hopelessness in the prior year ( OR = 4. 02), self2report of health status in last weeks as poor ( OR = 2. 81),not currently married (never married, divorced, widowed,etc) ( OR =2. 80),and so forth. Four variables were independent risk factors for both suicidal ideation and suicide attempt :hopelessness in the last year, younger age, having associates with prior suicidal behavior and female gender. Conclusions Many patients treated at medical, surgical and other outpatient departments of general hospitals in Beijing are depressed and at risk for suicide ; this is particularly true of young female patients who feel hopeless about their future. Outpatient clinicians need to be trained to identify such patients, to assess the severity of their psychological problems and, if necessary, to provide appropriate treatment or refer themfor psychiatric evaluation. Address：No. B115 National Institute for Communicable Disease Control and Prevention,
No.155 Changbai Road, Changping District, Beijing 102206, P.R.China.
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