《中国康复理论与实践》 ›› 2008, Vol. 14 ›› Issue (06): 566-567.

• 临床研究 • 上一篇    下一篇

精神分裂症患者自杀企图相关因素及其与生活质量的关系

朱辉1; 项玉涛1,2; Gabor S.Ungvari2   

  1. 1.首都医科大学附属北京安定医院12病区,北京市 100088;2.香港中文大学临床医学院精神科学系,香港
  • 收稿日期:2007-12-18 出版日期:2008-06-01 发布日期:2008-06-01

Socio-demographic and Clinical Correlates of Suicide Attempts and Impact on Quality of Life in Schizophrenia Patients

ZHU Hui,XIANG Yu-tao, Gabor S. Ungvari   

  1. Ward12, Beijing Anding Hospital, Capital Medical University, Beijing 100088, China
  • Received:2007-12-18 Published:2008-06-01 Online:2008-06-01

摘要: 目的分析中国精神科门诊精神分裂症患者的自杀企图发生率,并探索其相关因素和与生活质量的关系。方法对符合研究条件的250例平稳期精神分裂症患者的社会人口学资料、精神病性症状、药物锥体外系副作用和其生活质量进行调查,并应用多元Logistic回归分析探索其内在联系。结果多次住院和生理领域生活质量较低,与患者自杀企图的发生密切相关;阴性症状较重的精神分裂症患者出现自杀企图的可能性比较小。结论对于具有多次住院经历,并且生理领域生活质量较差的精神分裂症患者,要予以重视,重点预防其自杀企图的出现。

关键词: 精神分裂症, 生活质量, 自杀企图

Abstract: Objective To determine the socio-demographic and clinical correlates of suicide attempts in Chinese schizophrenia outpatients and their impact on patients' quality of life (QOL).Methods Two hundred and fifty eligible subjects were recruited and interviewed using standard instruments. Multiple logistic regression with stepwise method was used.Results The prevalence of suicide attempts was 33.6%. Patients with a history of suicide attempts were more likely to have multiple hospitalizations and poor physical QOL domain. Negative symptoms inversely predicted suicide attempts.Conclusion Suicide attempts could be controlled if more attention is paid on schizophrenia patients with multiple hospitalizations and poor physical QOL domain, which could facilitate the re-entry to community for schizophrenia outpatients in China.

Key words: schizophrenia, quality of life, suicide attempt