Suicidal ideation and risk factors in primary care patients with anxiety disorders.
Suicidal ideation and risk factors in primary care patients with anxiety disorders.
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DOI：
10.1016/j.psychres.2013.03.017
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发表时间：
2013-08-30
影响因子：
11.3
通讯作者：
Stein MB
中科院分区：
文献类型：
--
作者：
Bomyea J;Lang AJ;Craske MG;Chavira D;Sherbourne CD;Rose RD;Golinelli D;Campbell-Sills L;Welch SS;Sullivan G;Bystritsky A;Roy-Byrne P;Stein MB
焦虑症的存在与自杀想法和行为的频率更高有关。鉴于自杀行为的高个人和社会成本，预防自杀是一个优先事项。了解焦虑症患者体内存在的增加自杀风险的因素可能会为预防工作提供信息。本研究的目的是探讨自杀意念和行为的患病率，以及与自杀风险的焦虑症患者在初级保健的因素。分析了一项大规模随机对照研究的数据，以评估自杀想法和行为的患病率，以及与自杀风险相关的因素。结果显示，自杀意念和自杀行为在这一群体中相对普遍。当检查心理和身体健康因素联合，抑郁症，心理健康相关的损害和社会支持的存在下，每个独特的解释自杀风险评分的方差。方法的局限性包括横断面数据收集和缺乏共病人格障碍的信息。此外，纳入的患者来自排除标准可能限制普遍性的临床试验。研究结果强调了自杀行为的复杂决定因素，以及在这一人群中进行更细致的自杀评估的必要性，包括对合并症和一般功能的评估。
The presence of an anxiety disorder is associated with greater frequency of suicidal thoughts and behaviors. Given the high personal and societal costs of suicidal behaviors, suicide prevention is a priority. Understanding factors present within individuals with anxiety disorders that increase suicide risk may inform prevention efforts. The aims of the present study were to examine the prevalence of suicidal ideation and behaviors, as well as factors associated with suicide risk in patients with anxiety disorders in primary care. Data from a large scale randomized controlled study were analyzed to assess prevalence of suicidal thoughts and behaviors, as well as factors associated with suicide risk. Results revealed that suicidal ideation and behaviors were relatively common in this group. When examining mental and physical health factors jointly, presence of depression, mental health-related impairment, and social support each uniquely accounted for variance in suicide risk score. Methodological limitations include cross-sectional data collection and lack of information on comorbid personality disorders. Moreover, patients included were from a clinical trial with exclusion criteria that may limit generalizability. Results highlight the complex determinants of suicidal behavior and the need for more nuanced suicide assessment in this population, including evaluation of comorbidity and general functioning.
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