Prevalence of suicidal ideation and other suicide warning signs in veterans attending an urgent care psychiatric clinic.
Prevalence of suicidal ideation and other suicide warning signs in veterans attending an urgent care psychiatric clinic.
复制标题
前往紧急护理精神病诊所的退伍军人中自杀意念和其他自杀警告信号的患病率。
DOI：
10.1016/j.comppsych.2014.09.010
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发表时间：
2015
影响因子：
7.3
通讯作者：
Zisook,Sidney
中科院分区：
文献类型：
--
作者：
McClure,JanetR;Criqui,MichaelH;Macera,CarolineA;Ji,Ming;Nievergelt,CarolineM;Zisook,Sidney
临床环境中的自杀预防侧重于评估未来数小时到数天的风险，但对于哪些因素会增加急性风险知之甚少。目的确定可能作为急性高危警告的因素的普遍性。方法对473名在精神科急诊就诊的退伍军人进行自杀意念和其他急性危险体征的调查。结果半数以上（52%）的患者在自杀前一周有过自杀意念。其中，超过三分之一（37%）的人有积极的自杀意念，包括目前有自杀计划的人（27%）和已经准备实施自杀计划的人（12%）。其他警告信号也非常普遍，最常见的是：睡眠障碍（89%）、强烈焦虑（76%）、强烈躁动（75%）、绝望（70%）和绝望（70%）。几乎所有参与者（97%）都认可至少一个警告标志。患有抑郁综合症和/或创伤后应激障碍筛查呈阳性的参与者认可了最多的警告信号。那些同时患有抑郁综合症和创伤后应激障碍的人比那些单独患有任何一种障碍的人更有可能支持强烈的情感状态。组间比较的p值均< 0.008。结论退伍军人在精神科急诊就诊时，有过自杀意念、自杀未遂、当前有自杀意念和强烈情感状态的发生率显著较高；以及同时发生的创伤后应激障碍和抑郁综合症与强烈情感状态之间的强烈联系。
BackgroundSuicide prevention in the clinical setting is focused on evaluating risk in the coming hours to days, yet little is known about which factors increase acute risk.PurposeTo determine the prevalence of factors that may serve as warnings of heightened acute risk.MethodsVeterans attending an urgent care psychiatric clinic (n = 473) completed a survey on suicidal ideation and other acute risk warning signs.ResultsMore than half the sample (52%) reported suicidal ideation during the prior week. Of these, more than one-third (37%) had active ideation which included participants with a current suicide plan (27%) and those who had made preparations to carry out their plan (12%). Other warning signs were also highly prevalent, with the most common being: sleep disturbances (89%), intense anxiety (76%), intense agitation (75%), hopelessness (70%), and desperation (70%). Almost all participants (97%) endorsed at least one warning sign. Participants with depressive syndrome and/or who screened positive for post-traumatic stress disorder endorsed the largest number of warning signs. Those with both depressive syndrome and post-traumatic stress disorder were more likely to endorse intense affective states than those with either disorder alone. All p-values for group comparisons are <.008.ConclusionOur major findings are the strikingly high prevalence of past suicidal ideation, suicide attempts, current suicidal ideation and intense affective states in veterans attending an urgent care psychiatric clinic; and the strong associations between co-occurring post-traumatic stress disorder and depressive syndrome with intense affective states.