精神分裂症冲动性与自杀未遂的关联分析  

Correlation analysis between impulsivity and suicide attempt in schizophrenia

作　　者：王艳华[1] 赵涛 曹美月[1] WANG Yanhua;ZHAO Tao;CAO Meiyue(Hebei Sixth People's Hospital,Baoding 071000,China)

机构地区：[1]河北省第六人民医院,保定071000

出　　处：《国际精神病学杂志》2023年第6期1299-1302,共4页Journal Of International Psychiatry

基　　金：保定市科技计划项目(编号:1951ZF098)。

摘　　要：目的探讨精神分裂症患者冲动性与自杀未遂之间的关系。方法本研究通过回顾调查河北省第六人民医院2018年1月~12月住院精神分裂症患者,应用自制一般情况调查表,收集患者的社会人口学资料。通过冲动行为风险评估表评估患者冲动性和自杀风险评估量表评估患者自杀未遂史。结果住院精神分裂症患者冲动性检出率为35.7%。单因素分析显示:精神分裂症患者冲动性与吸烟、男性、住院次数、自杀未遂史有关。多因素Logistic回归分析显示:多次住院(0R=1.069,P=0.038)、男性(0R=1.579,P=0.005)、自杀未遂史(0R=2.272,P<0.001)为独立危险因素。结论精神分裂症患者自杀未遂与冲动性密切相关,多次住院、男性精神分裂症患者冲动风险更高。Objective To explore the relationship between impulsivity and suicide attempt in patients with schizophrenia.Methods The purpose of this study was to retrospectively investigate the patients with schizophrenia who were hospitalized in Hebei Sixth People's Hospital from January to December 2018.The general situation questionnaire was made by ourselves,and the socio-demographic data of the patients were collected.Impulsivity was assessed by the impulsive behavior risk assessment scale and suicide attempt history was assessed by the suicide risk assessment scale.Results The positive rate of impulsivity in hospitalized schizophrenics was 35.7%.Univariate analysis showed that impulsivity in schizophrenia was associated with smoking,male sex,number of hospitalizations,and history of suicide attempts.Multiple Logistic regression analysis showed that multiple hospitalizations(OR=1.069,P=0.038),male(OR=1.579,P=0.005),and history of suicide attempts(OR=2.272,P<0.001)were independent risk factors.Conclusions Impulsivity is closely associated with suicide attempts in schizophrenia.Male patients with multiple hospitalizations and schizophrenia are at higher risk for impulsivity.

关 键 词：精神分裂症 冲动 自杀 男性 

分 类 号：R749.3[医药卫生—神经病学与精神病学]