精神科门诊病人自杀意念，态度及应对方式的调查
发布时间：2019-01-19 17:22
【摘要】： 目的了解精神科门诊病人的自杀意念,自杀态度,应对方式及其相互关系,探讨对罹患精神疾病的高危人群提供临床指导。 方法运用贝克自杀意念量表(BSS),自杀态度问卷(QSA),简易应对方式问卷(SCSQ)对重庆医科大学附属第一医院精神科2008.11-2009.1期间门诊,病情允许,无交流障碍,且愿意参与问卷调查的精神分裂症,抑郁症,焦虑障碍患者169人进行调查,其中有效问卷为121份。 结果(1)本研究对象中,不同性别、不同年龄的自杀态度及应对方式间的差异无统计学意义(t=-1.704~1.840,P0.05)。 (2)有41.32%的精神科门诊病人在过去1周内有过自杀念头;不同精神疾病患者自杀意念出现率的差别无统计意义(P0.05)。精神分裂症组与抑郁组中自杀意念出现率有差异(P0.05)。 (3)精神疾病患者自杀态度的F1、F4维度的均分在2.5～3.5分之间,F2、F3维度小于2.5分;不同精神疾病之间在F1存在显著差异(P0.01);有无自杀意念的门诊病人在F1、F4存在不同程度的差异(P0.01,P0.05)。 (4)精神科门诊病人的积极应对得分、消极应对得分明显低于全国常模(P0.01);精神分裂症者的消极应对得分明显低于全国常模(P0.01);不同精神疾病的消极应对方式存在差异(P0.05);精神分裂症与抑郁症之间的消极应对方式存在差异(P0.05)。 (5)精神科门诊病人的积极应对方式与自杀态度的F4呈显著负相关(P0.01)。焦虑障碍者的积极应对与自杀态度呈显著负相关(P0.01)。精神分裂症者的积极应对与自杀态度呈不同程度的负相关(P0.05,0.01)。抑郁症者的积极应对与自杀态度呈不同程度的正相关(P0.05),其消极应对与自杀态度呈正相关(P0.05)。 结论1.不同精神疾病影响自杀行为的态度。 2.抑郁症患者比精神分裂症患者对自杀行为更有认同感,更容易出现自杀意念,更容易采取消极方式应对生活事件。 3.精神病患者对安乐死有一定的认识。 4.精神分裂症患者,焦虑障碍患者少采取消极应对方式。 5.精神分裂症以及焦虑障碍患者越能理解自杀者,采取积极应对方式越多。 6.抑郁症患者采取积极应对方式越多,越可能减少自杀行为的发生。 7.对门诊精神分裂症患者主要采用观察,谈话的临床评估方式,而对门诊抑郁症及焦虑障碍患者可加用简单量表,以在有限门诊时间内加深对病人的了解。
[Abstract]:Objective to investigate the suicidal ideation, attitude, coping style and their relationship among psychiatric outpatients, and to provide clinical guidance for the high risk population with mental illness. Methods (BSS), suicide attitude questionnaire (SCSQ) was applied to outpatient clinic of the Department of Psychiatry of the first affiliated Hospital of Chongqing Medical University from August to January 2008.There was no communication disorder. There were 169 patients with schizophrenia, depression and anxiety disorder who were willing to participate in the questionnaire, among which 121 were valid questionnaires. Results (1) there was no significant difference in suicide attitude and coping style among different genders and ages in this study (t = 1.704 / 1.840P 0.05). (2) 41.32% of psychiatric outpatients had suicidal thoughts in the past week, but there was no significant difference in the incidence of suicidal ideation among patients with different mental diseases (P0.05). The incidence of suicidal ideation in schizophrenia group and depression group was different (P0.05). (3) the mean scores of F1F4 and F2F3 were between 2.5 and 3.5, respectively, and there were significant differences among different mental diseases in F1 (P0.01). There was significant difference in F1F4 between outpatients with or without suicidal ideation (P0.01P 0.05). (4) the score of positive coping in psychiatric outpatients was significantly lower than that of national norm (P0.01), and that of schizophrenics was significantly lower than that of national norm (P0.01). There were differences in negative coping styles between different mental disorders (P0.05) and between schizophrenia and depression (P0.05). (5) the positive coping style of psychiatric outpatients was negatively correlated with F _ 4 of suicidal attitude (P0.01). There was a significant negative correlation between positive coping and suicidal attitude in patients with anxiety disorder (P0.01). There was a negative correlation between positive coping and suicidal attitude in schizophrenic patients (P0. 05, 0. 01). Positive coping was positively correlated with suicidal attitude (P0.05) and negative coping was positively correlated with suicidal attitude (P0.05). Conclusion 1. Different mental disorders affect attitudes toward suicide. 2. Patients with depression are more likely to identify with suicidal behavior, develop suicidal ideation and respond to life events in a negative way than schizophrenics. 3. Mental patients have a certain understanding of euthanasia. 4. Schizophrenic patients, anxiety disorder patients with less negative coping style. 5. The more people with schizophrenia and anxiety disorders understand suicides, the more they adopt positive coping styles. 6. The more people with depression adopt positive coping styles, the less likely they are to commit suicide. 7. In order to deepen the understanding of outpatients with schizophrenia, the clinical evaluation methods of observation and conversation were mainly used, and the patients with depression and anxiety disorder in outpatient department could be treated with simple scale in order to deepen their understanding of the patients in the limited time of outpatient service.
【学位授予单位】：重庆医科大学
【学位级别】：硕士
【学位授予年份】：2009
【分类号】：B846
本文编号：2411579
[Abstract]:Objective to investigate the suicidal ideation, attitude, coping style and their relationship among psychiatric outpatients, and to provide clinical guidance for the high risk population with mental illness. Methods (BSS), suicide attitude questionnaire (SCSQ) was applied to outpatient clinic of the Department of Psychiatry of the first affiliated Hospital of Chongqing Medical University from August to January 2008.There was no communication disorder. There were 169 patients with schizophrenia, depression and anxiety disorder who were willing to participate in the questionnaire, among which 121 were valid questionnaires. Results (1) there was no significant difference in suicide attitude and coping style among different genders and ages in this study (t = 1.704 / 1.840P 0.05). (2) 41.32% of psychiatric outpatients had suicidal thoughts in the past week, but there was no significant difference in the incidence of suicidal ideation among patients with different mental diseases (P0.05). The incidence of suicidal ideation in schizophrenia group and depression group was different (P0.05). (3) the mean scores of F1F4 and F2F3 were between 2.5 and 3.5, respectively, and there were significant differences among different mental diseases in F1 (P0.01). There was significant difference in F1F4 between outpatients with or without suicidal ideation (P0.01P 0.05). (4) the score of positive coping in psychiatric outpatients was significantly lower than that of national norm (P0.01), and that of schizophrenics was significantly lower than that of national norm (P0.01). There were differences in negative coping styles between different mental disorders (P0.05) and between schizophrenia and depression (P0.05). (5) the positive coping style of psychiatric outpatients was negatively correlated with F _ 4 of suicidal attitude (P0.01). There was a significant negative correlation between positive coping and suicidal attitude in patients with anxiety disorder (P0.01). There was a negative correlation between positive coping and suicidal attitude in schizophrenic patients (P0. 05, 0. 01). Positive coping was positively correlated with suicidal attitude (P0.05) and negative coping was positively correlated with suicidal attitude (P0.05). Conclusion 1. Different mental disorders affect attitudes toward suicide. 2. Patients with depression are more likely to identify with suicidal behavior, develop suicidal ideation and respond to life events in a negative way than schizophrenics. 3. Mental patients have a certain understanding of euthanasia. 4. Schizophrenic patients, anxiety disorder patients with less negative coping style. 5. The more people with schizophrenia and anxiety disorders understand suicides, the more they adopt positive coping styles. 6. The more people with depression adopt positive coping styles, the less likely they are to commit suicide. 7. In order to deepen the understanding of outpatients with schizophrenia, the clinical evaluation methods of observation and conversation were mainly used, and the patients with depression and anxiety disorder in outpatient department could be treated with simple scale in order to deepen their understanding of the patients in the limited time of outpatient service.
【学位授予单位】：重庆医科大学
【学位级别】：硕士
【学位授予年份】：2009
【分类号】：B846
【引证文献】
相关期刊论文 前1条
1 邓云龙;熊燕;林云芳;;生存理由量表在中国大学生群体中的应用[J];中国临床心理学杂志;2012年03期
，本文编号：2411579
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