综合医院住院病人自杀意念及危险因素的研究

发布时间：2018-03-04 15:32

本文选题：综合医院　切入点：躯体疾病　出处：《中南大学》2009年硕士论文　论文类型：学位论文

【摘要】： 目的:通过对某综合医院住院病人自杀意念调查,探讨自杀意念危险因素,为躯体疾病病人自杀预防提供依据。方法:调查对象为2008年7-12月某三甲综合医院年龄≥15岁愿意合作能够填写调查表的住院病人(主要为耳鼻喉科、肿瘤科、普外科、神内科、心内科等),用自编的住院病人一般资料调查表、躯体疾病病人自杀危险因素与自杀意念调查表、躯体疾病相关情况调查表(由医生填写)等进行调查,了解住院病人自杀意念发生情况,并通过logistic回归分析自杀意念危险因素。结果:1.407例完成自杀意念评定的患者中,有自杀意念者为33人(8.11%,95%CI为5.46%-10.76%),其中16人有相应的自杀计划。各科室病人自杀意念发生率无显著性差异。2.有自杀意念的病人有更多的焦虑、抑郁情绪(P=0.000)。3.自编躯体疾病病人自杀意念危险因素调查表总的Cronbach'sα系数为0.878,各因子的α系数在0.551-0.825之间,各条目的负荷为0.413-0.662。躯体疾病病人自杀危险因素调查表与抑郁自评量表、焦虑自评量表得分、自杀意念呈正相关(抑郁自评量表r=0.729,焦虑自评量表r=0.548,自杀意念r=0.345,P＜0.01)。4.多因素logistic回归分析发现,躯体疾病病人自杀意念危险因素包括疾病预后、病人既往自杀史与自制的住院病人自杀危险因素调查表中的3个因子:焦虑、归因方式、无望感。结论:1.躯体疾病病人自杀意念、自杀计划高于一般人群,其自杀意念的产生与躯体疾病病情等因素有密切的关系。2.自编躯体疾病病人自杀危险因素调查表有较好的信、效度,可用于临床调查。3.躯体疾病病人自杀意念主要危险因素是疾病预后、病人既往自杀史与自制的住院病人自杀危险因素调查表中的3个因子:焦虑、归因方式、无望感,共15个条目。4.这15个条目可用来筛查躯体疾病病人自杀意念危险因素,伴有自杀意念危险因素的病人应视为自杀高危人群。
[Abstract]:Objective: to investigate the risk factors of suicidal ideation in hospitalized patients in a general hospital and to provide evidence for the prevention of suicide in patients with somatic diseases. Methods: the subjects were inpatients who were more than 15 years old and who were willing to cooperate to fill out the questionnaire (mainly otolaryngology, oncology, general surgery and internal medicine) in a general hospital from July to December in 2008. A self-designed questionnaire for general information of inpatients, a questionnaire for suicidal risk factors and suicidal ideation in patients with somatic diseases, a questionnaire on the related conditions of physical diseases (to be filled out by a doctor), etc. To understand the incidence of suicidal ideation in inpatients and to analyze the risk factors of suicidal ideation by logistic regression analysis. Results of the 407 patients who completed the assessment of suicidal ideation, 33 had suicide ideation (8.11%) and 95% (CI = 5.46-10.76C), 16 of whom had corresponding suicide plans. There was no significant difference in the incidence of suicidal ideation among patients in different departments. The patients with suicidal ideation had more anxiety. Total Cronbach's 伪 coefficient was 0.878, the 伪 coefficient of each factor was between 0.551-0.825, and the load of each item was 0.413-0.662.The questionnaire of suicide risk factors of patients with physical diseases and the self-rating depression scale were used in this study, and the total Cronbach's 伪 coefficient of the questionnaire was 0.878, the 伪 coefficient of each factor was between 0.551-0.825, and the load of each item was 0.413-0.662. The scores of self-rating anxiety scale were positively correlated with suicidal ideation (self-rating depression scale r0.729, self-rating anxiety scale r 0.548, suicide ideation r 0.345 P < 0.01). Multivariate logistic regression analysis showed that the risk factors of suicidal ideation in patients with physical diseases included disease prognosis. There were three factors in the questionnaire of suicide risk factors: anxiety, attribution style and hopelessness. Conclusion (1) suicide ideation in patients with somatic diseases is higher than that in the general population. There is a close relationship between suicide ideation and the condition of somatic diseases. 2. The questionnaire of suicide risk factors for patients with somatic diseases has good reliability and validity. The main risk factors of suicidal ideation in patients with somatic diseases are the prognosis of disease, the three factors in the questionnaire of suicide risk factors of patients with previous suicide history and self-made inpatients: anxiety, attribution style, hopelessness, anxiety, attribution style, hopelessness, anxiety, attribution style, hopelessness, anxiety, attribution style and hopelessness. These 15 items can be used to screen the risk factors of suicidal ideation in patients with somatic diseases, and patients with suicidal ideation risk factors should be regarded as high risk groups for suicide.
【学位授予单位】：中南大学
【学位级别】：硕士
【学位授予年份】：2009
【分类号】：B846

【引证文献】