有自杀未遂史的患者在躯体和社会生活质量领域仍然很差.pptVIP

Socio-demographic and clinical correlates of lifetime suicide attempts and their impact on quality of life in Chinese schizophrenia patients自杀未遂的精神分裂症患者社会人口学和临床相关因素以及其对患者生活质量的影响 Xiang Yu-Tao, MD, PhD Dep. of Psychiatry, CUHK Beijing Anding Hospital, China 项玉涛 首都医科大学北京安定医院 暨 香港中文大学医学院精神科学系 Background (1)研究背景 (1) Suicide is the chief cause of premature death in schizophrenia patients and 10%-15% of them die by suicide (Caldwell et al., 1990) 在西方国家自杀是精神分裂症患者非正常死亡的首要因素，约10%-15%的精神分裂症患者死于自杀 (Caldwell et al., 1990) Occurrence of lifetime suicide attempts in schizophrenia patients ranged from 18% to 55% (Roy, 1982) 根据既往研究，精神分裂症自杀未遂的发生率约为18% to 55% (Roy, 1982) Majority of schizophrenia patients who commit suicide have at least one previous attempt (Harkavy-Friedman et al, 1999) 大多数自杀成功的精神分裂症患者，既往至少有一次自杀未遂的经历 (Harkavy-Friedman et al, 1999) ---针对自杀未遂的研究，愈发引起人们的重视 Background (2)研究背景 (2) Risk factors of suicide attempts included male gender, younger age, unmarried status, presence of depression and hopelessness, history of substance abuse, unemployment, and positive family history of suicide (Addington et al., 1992) 西方国家研究显示，男性、年龄、未婚、抑郁状态、绝望、物质依赖史、无业和自杀阳性家族史等因素，与自杀未遂的发生有关 (Addington et al., 1992) No study focuses on socio-demographic and clinical correlates of lifetime suicide attempts in Chinese schizophrenia patients and the impact on their quality of life (QOL). 至今，没有针对中国城市精神分裂症患者自杀未遂相关因素的研究；亦没有自杀未遂对患者生活质量影响的研究 Aims研究目的 Aim: To investigate the rate of lifetime suicide attempts in Chinese schizophrenia patients, and determine their correlates 目的: 调查香港、北京两地门诊精神分裂症患者自杀未遂的发生率，以及相关因素 Hypotheses研究假设 Hypothesis 1: Rates of lifetime suicide attempts would significantly differ between Hong Kong and Beijing due to the differences between the two sites in socio-cultural and economic contexts and access to psychiatric care 假设-1: 香港、北京两地自杀未遂发生率有显著差异 – 由于两地社会文化经济背景不同，以及精神卫生服务体系不同 Hypothesis 2: Severity of depressive and psychotic symptoms and characteristic of psyc