名自杀者精神科诊断 POWERPOINT 演示文稿.pptVIP

Psychiatric diagnoses in 3275 suicides :a meta-analysis Jiang Ronghuang background Psychological autopsy is one of the most popular methods used to explore the relationship between suicide and mental disorders psychopathology is an important predictor of suicide completion Rates of total and specific psychiatric disorders, gender and geographic origin varied between studies Aim of the study To carry out quantitative synthesis of overall and specific psychiatric diagnoses found in suicide studies To explore possible gender and geographic difference in the distribution of psychiatric disorders among suicide completers 研究方法 研究确认：关键词 研究选择 纳入标准 排除标准 研究评估：23variables，3 demographic information, 4 method of diagnosis, 16 evaluate psychiatric diagnoses 结果-方法学评估 27项研究纳入最后分析 52%（14/27）case-control study 81%(22/27)published after 1990 67% used DSM，22%(6/27) ICD, 11%(3/27)RDC 63%(17) multiple diagnoses, 37%(10)principle diagnoses 人口学特征 3275 suicides (121±103) 11 项研究性别报告男933，女462 14项Europe(1 Israel,1488 cases); 7 North American(794cases); 3 Australia(258); 3Asia（735） 诊断分布-1 87.3% with psychiatric diagnoses 14项研究包括轴I 和轴II诊断；13项只有轴I 诊断 34.9% 有对照 43.2% 的自杀病例诊断为情感障碍；25.7%诊断为物质滥用问题，其中抑郁症和酒精滥用最常见 16.2% 人格问题；9.2%Schizophrenia 诊断分布-2 14项病例对照研究 Organic disorders, adjustment disorders, psychiatric disorders Variables: at least one psychiatric disorder; schizophrenia 诊断分布-Gender difference Gender difference: significantly Females older than males Alcohol, other substance problem, any substance problems; personality disorder, childhood disorders (MF) Depressive disorders; any affective disorders (MF) 诊断分布-world regions Differ significantly(age-related biases) Psychiatric diagnoses:USA 89.7%, Europe 88.8%; Asia 83.0%; 78.9% Austrilia Discussion Specific diagnoses Any affective disorders, any substance disorders Suicide completers tend to have more than one psychiatric disorders (2.36); of 3 difference patterns, presence of impulsive-aggressive disorders Demographic difference discus