The Twenty-Year Trajectory of Suicidal Activity Among Post-Hospital Psychiatric Men and Women with Mood Disorders and Schizophrenia.
The Twenty-Year Trajectory of Suicidal Activity Among Post-Hospital Psychiatric Men and Women with Mood Disorders and Schizophrenia.
复制标题
DOI：
10.1080/13811118.2015.1033505
复制
发表时间：
2016-07-02
期刊：
影响因子：
--
通讯作者：
Clews K
中科院分区：
文献类型：
--
作者：
Kaplan KJ;Harrow M;Clews K
芝加哥随访研究对精神病患者住院后的严重精神疾病病程进行了 20 多年的追踪。这些患者中有 97 名精神分裂症患者、45 名分裂情感性障碍患者、102 名单相非精神病性抑郁症患者和 53 名双相情感障碍患者。对于跨诊断类别的男性和女性，最大自杀活动（自杀意念、自杀企图和自杀完成）通常在急性精神科住院出院后的三个时间段（早期、中期和晚期随访）中下降，但有两个例外：女性精神分裂症患者和女性双相情感障碍患者。精神分裂症、情感分裂和抑郁诊断组的男性患者的加权平均自杀活动评分在随访期间趋于下降，而男性双相情感障碍患者的这一方向趋势不均匀。除了女性抑郁症患者外，我们的女性患者中没有出现这种模式。男性的自杀活动似乎更多是由精神病症状和潜在的慢性残疾引发的，而女性的自杀活动似乎更多是由情感症状引发的。
The Chicago Follow-up Study has followed the course of severe mental illness among psychiatric patients for over 20 years after their index hospitalization. Among these patients are 97 schizophrenia patients, 45 patients with schizoaffective disorders, 102 patients with unipolar nonpsychotic depression, and 53 patients with a bipolar disorder. Maximum suicidal activity (suicidal ideation, suicidal attempts and suicide completions) generally declines over the three time periods (early, middle, and late follow-ups) following discharge from the acute psychiatric hospitalization for both males and females across diagnostic categories with two exceptions: female schizophrenia patients and female bipolar patients. A weighted mean suicidal activity score tended to decrease across follow-ups for male patients in the schizophrenia, schizoaffective and depressive diagnostic groups with an uneven trend in this direction for the male bipolars. No such pattern emerges for our female patients except for female depressives. Males’ suicidal activity seems more triggered by psychotic symptoms and potential chronic disability while females’ suicidal activity seems more triggered by affective symptoms.
登录
查看更多内容
影响因子：
3.2
作者：
Kaplan, Kalman J.;Harrow, Martin;Faull, Robert N.
通讯作者：
Faull, Robert N.
影响因子：
5.6
作者：
Zhang, J;Mckeown, RE;Woods, JR
通讯作者：
Woods, JR
影响因子：
6.9
作者：
Harrow, M.;Jobe, T. H.;Faull, R. N.
通讯作者：
Faull, R. N.
影响因子：
6.6
作者：
CALDWELL, CB;GOTTESMAN, II
通讯作者：
GOTTESMAN, II
DOI：
10.1176/appi.ajp.2011.10111704
发表时间：
2011-12
期刊：
The American journal of psychiatry
影响因子：
--
作者：
Posner K;Brown GK;Stanley B;Brent DA;Yershova KV;Oquendo MA;Currier GW;Melvin GA;Greenhill L;Shen S;Mann JJ
通讯作者：
Mann JJ