广州市美沙酮维持治疗患者自杀意念现状及危险因素分析  

Analysis of the current status of suicidal thoughts and the risk factors among patients receiving methadone maintenance treatment in Guangzhou

作　　者：张浩洋[1] 曹莉蓉 杨远航[1] 郑好[1] 林荣榕[1] 徐慧芳 赵宇腾 顾菁[1] 

机构地区：[1]中山大学公共卫生学院,广东广州510000 [2]广州市市疾病预防控制中心,广东广州510000

出　　处：《现代预防医学》2016年第24期4489-4493,共5页Modern Preventive Medicine

摘　　要：目的了解广州市美沙酮维持治疗患者产生自杀意念的现状,分析广州市美沙酮维持治疗患者产生自杀意念的影响因素。方法应用描述性统计方法,对广州市美沙酮维持治疗患者产生自杀意念的现况进行分析。应用R3.1.2软件建立多因素非条件Logistic回归模型,采用ROC法对模型进行有效性评价。结果本次调查人群中44人曾产生自杀意念(20.18%),13人曾计划自杀(5.96%),9人曾尝试自杀(4.13%)。多因素Logistic回归显示美沙酮维持治疗患者产生自杀意念的危险因素为轻度抑郁情绪、中重度抑郁、轻度焦虑情绪、中重度焦虑情绪,而保护因素为中社会支持度和高社会支持度;ROC法评价模型预测准确率为79.50%。结论抑郁情绪、焦虑情绪和低社会支持度是美沙酮维持治疗患者自杀意念的高危因素;社工和美沙酮维持治疗医务工作者有必要对患者进行更多的关怀。Objective The objective of the study was to assess the current status of suicidal thoughts among patients receiving methadone maintenance treatment in Guangzhou, aiming to analyze the influencing factors for suicidal thoughts among the patients. Methods Descriptive statistical method was used to analyze the current status of suicidal thoughts among patients receiving methadone maintenance treatment in Guangzhou. Multivariate unconditioned logistic regression model was established by R3.1.2, and validity of the model was evaluated by a receiver operating characteristic（ROC） curve. Results From the survey, 44 patients（20.18%） had suicidal thoughts, 13 patients（5.96%） had planned to suicide, and 9 patients（4.13%） had attempted suicide. Multivariate logistic aggression analysis showed the risk factors for having suicidal thoughts among the patients were mild depression, moderate and severe depression, mild anxiety, moderate and severe anxiety. The protection factors were moderate degree and high degree of social support. Prediction accuracy of the ROC-based evaluation model was 79.50%. Conclusion Depression, anxiety and low degree of social support are the high risk factors for suicidal thoughts among patients receiving methadone maintenance treatment. It is necessary for social workers and medical professionals engaging in methadone maintenance treatment to offer more care for the patients.

关 键 词：美沙酮维持治疗 自杀意念 LOGISTIC回归 

分 类 号：R512.91[医药卫生—内科学]