农村青年自杀者精神障碍的识别

发布时间：2018-01-19 07:15

本文关键词： 自杀精神障碍心理解剖 DSM-IV轴I诊断临床定式访谈访问卷现况调查　出处：《中国心理卫生杂志》2014年04期 　论文类型：期刊论文

【摘要】：目的:探讨有效识别农村青年自杀者精神障碍的方法。方法:通过序贯取样的方法,从辽宁、湖南、山东3个省的16个县获得15~34岁自杀死亡病例392例,针对每个病例采用心理解剖方法访谈2个知情人。将中文版DSM-IV轴I诊断临床定式访谈访问卷(SCID-I)的回顾性诊断结果与知情人其对自杀者精神障碍的报告进行比较。结果:379例自杀者知情人陈述了死者生前状况,SCID对自杀死亡者生前的精神障碍回顾性阳性诊断率高于知情人对自杀死亡者生前有精神障碍的报告率[48.0%(188/39)vs.21.9%(86/392),P0.001]。知情人对自杀死亡者生前的精神异常症状的识别率高于对精神障碍的报告率[48.2%(189/392)vs.21.9%(86/392),P0.001]。结论:SCID回顾性诊断是识别农村青年自杀者精神障碍更为有效的方法。相对自杀者的精神障碍,知情人更容易发现自杀者的精神异常症状。
[Abstract]:Objective: to explore an effective method to identify the mental disorders of young suicides in rural areas. Methods: through sequential sampling method, from Liaoning, Hunan. In 16 counties of 3 provinces in Shandong Province 392 cases of suicide and death aged 15 to 34 years were obtained. Two insiders were interviewed by psycho anatomic method for each case. The Chinese version of DSM-IV axis I diagnostic clinical interview was used to interview SCID-I). The results of the retrospective diagnosis were compared with the insiders' reports of suicide disorders. Results: 379 suicide insiders stated the deceased's living condition. The retrospective positive diagnosis rate of mental disorders in patients with suicidal death by SCID was higher than that by insiders who had mental disorders before death. [48.0 / 1888 / 39vs.21.9B / 86 / 392. (P0.001). The identification rate of mental disorders by insiders was higher than that of mental disorders reported by persons who died of suicide. [48.2 / 392vs.21.9a / 86 / 392. Conclusion: the retrospective diagnosis of: SCID is a more effective method to identify the mental disorders of young suicides in rural areas. Insiders are more likely to detect the mental symptoms of suicides.
【作者单位】：山东大学公共卫生学院;美国纽约州立大学布法罗分院社会学系;山东省精神卫生中心;
【基金】：美国国立卫生研究院资助课题(NIH/NIMH:R01 MH068560)
【分类号】：B846
【正文快照】： 自杀是严重的公共卫生问题,也是常见的精神卫生问题。自杀是全球各年龄段排名前20位的致死原因之一[1],是中国人口的第5位死亡原因,是15~34岁年龄段人口中的第1位死因[2]。不仅如此,自杀还会给家人和朋友造成严重的心理创伤[3],自杀者的抑郁程度要超过普通人群[4]。西方国家约

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