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Incidence and Risk Factors for Suicide Attempts in Patients Diagnosed with Major Depressive Disorder
Psychology Research and Behavior Management ( IF 2.8 ) Pub Date : 2020-12-03 , DOI: 10.2147/prbm.s274769 Angélica Gonçalves Peter 1, 2 , Mariane Lopez Molina 3 , Taiane de Azevedo Cardoso 1, 4 , Thaíse Campos Mondin 5 , Ricardo Azevedo da Silva 1 , Karen Jansen 1 , Marcelo Machado Dornellas de Barros 1 , Érico Nobre Dos Santos 1 , Kyara Rodrigues de Aguiar 1 , Luciano Dias de Mattos Souza 1
Psychology Research and Behavior Management ( IF 2.8 ) Pub Date : 2020-12-03 , DOI: 10.2147/prbm.s274769 Angélica Gonçalves Peter 1, 2 , Mariane Lopez Molina 3 , Taiane de Azevedo Cardoso 1, 4 , Thaíse Campos Mondin 5 , Ricardo Azevedo da Silva 1 , Karen Jansen 1 , Marcelo Machado Dornellas de Barros 1 , Érico Nobre Dos Santos 1 , Kyara Rodrigues de Aguiar 1 , Luciano Dias de Mattos Souza 1
Affiliation
Objective: This study seeks to investigate the cumulative incidence and risk factors of suicide attempts in an outpatient sample of adults diagnosed with major depressive disorder (MDD).
Materials and Methods: This is a longitudinal study with 377 patients aged between 18 and 60 years. Those were diagnosed with MDD with no history of suicide attempts when they sought care at the Mental Health Outpatient Clinic of the Catholic University of Pelotas and evaluated again 3 years after. Participants were evaluated with the Mini International Neuropsychiatric Interview (MINI Plus) and answered instruments of clinical investigation and a sociodemographic questionnaire.
Results: The cumulative incidence of suicide attempts in the sample was 10.1%. Youths aged up to 29 years (OR 2.23; 95% CI 1.13 to 4.64), with low schooling (OR 2.35; 95% CI 1.15 to 4.80), who suffered intense physical abuse during childhood (OR 2.77; 95% CI 1.31 to 5.84) and were at prior suicide risk (OR 3.39; 95% CI 1.56 to 7.37) were more likely to attempt suicide.
Conclusion: The findings of this study may help health professionals identify depressed patients at greater risk for a first suicide attempt, supporting clinical decision and therapeutic planning.
Keywords: depression, suicide, attempt, incidence, longitudinal studies
中文翻译：
被诊断患有重度抑郁症的患者自杀未遂的发生率和危险因素
目的：本研究旨在调查诊断为重度抑郁症 (MDD) 的成人门诊样本中自杀未遂的累积发生率和危险因素。
材料和方法：这是一项针对 377 名年龄在 18 至 60 岁之间的患者的纵向研究。那些在佩洛塔斯天主教大学心理健康门诊寻求治疗并在 3 年后再次评估时被诊断出患有 MDD，没有自杀未遂史。参与者接受了迷你国际神经精神病学访谈（MINI Plus）的评估，并回答了临床调查工具和社会人口学问卷。
结果：样本中自杀未遂的累积发生率为 10.1%。年龄不超过 29 岁的青少年（OR 2.23；95% CI 1.13 至 4.64），受教育程度低（OR 2.35；95% CI 1.15 至 4.80），在童年时期遭受过严重的身体虐待（OR 2.77；95% CI 1.31 至 5.84） ) 并且有先前的自杀风险（OR 3.39；95% CI 1.56 至 7.37）更有可能企图自杀。
结论：本研究的结果可能有助于卫生专业人员识别第一次自杀企图风险更大的抑郁症患者，支持临床决策和治疗计划。
关键词：抑郁，自杀，企图，发生率，纵向研究
更新日期：2020-12-03
Materials and Methods: This is a longitudinal study with 377 patients aged between 18 and 60 years. Those were diagnosed with MDD with no history of suicide attempts when they sought care at the Mental Health Outpatient Clinic of the Catholic University of Pelotas and evaluated again 3 years after. Participants were evaluated with the Mini International Neuropsychiatric Interview (MINI Plus) and answered instruments of clinical investigation and a sociodemographic questionnaire.
Results: The cumulative incidence of suicide attempts in the sample was 10.1%. Youths aged up to 29 years (OR 2.23; 95% CI 1.13 to 4.64), with low schooling (OR 2.35; 95% CI 1.15 to 4.80), who suffered intense physical abuse during childhood (OR 2.77; 95% CI 1.31 to 5.84) and were at prior suicide risk (OR 3.39; 95% CI 1.56 to 7.37) were more likely to attempt suicide.
Conclusion: The findings of this study may help health professionals identify depressed patients at greater risk for a first suicide attempt, supporting clinical decision and therapeutic planning.
Keywords: depression, suicide, attempt, incidence, longitudinal studies
中文翻译：
被诊断患有重度抑郁症的患者自杀未遂的发生率和危险因素
目的：本研究旨在调查诊断为重度抑郁症 (MDD) 的成人门诊样本中自杀未遂的累积发生率和危险因素。
材料和方法：这是一项针对 377 名年龄在 18 至 60 岁之间的患者的纵向研究。那些在佩洛塔斯天主教大学心理健康门诊寻求治疗并在 3 年后再次评估时被诊断出患有 MDD，没有自杀未遂史。参与者接受了迷你国际神经精神病学访谈（MINI Plus）的评估，并回答了临床调查工具和社会人口学问卷。
结果：样本中自杀未遂的累积发生率为 10.1%。年龄不超过 29 岁的青少年（OR 2.23；95% CI 1.13 至 4.64），受教育程度低（OR 2.35；95% CI 1.15 至 4.80），在童年时期遭受过严重的身体虐待（OR 2.77；95% CI 1.31 至 5.84） ) 并且有先前的自杀风险（OR 3.39；95% CI 1.56 至 7.37）更有可能企图自杀。
结论：本研究的结果可能有助于卫生专业人员识别第一次自杀企图风险更大的抑郁症患者，支持临床决策和治疗计划。
关键词：抑郁，自杀，企图，发生率，纵向研究
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