Risk factors for suicide in psychiatric outpatients: a 20-year prospective study.
Risk factors for suicide in psychiatric outpatients: a 20-year prospective study.
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DOI：
10.1037/0022-006x.68.3.371
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发表时间：
2000-06
影响因子：
5.9
通讯作者：
Gregory K Brown;A. Beck;R. Steer;J. Grisham
中科院分区：
文献类型：
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作者：
Gregory K Brown;A. Beck;R. Steer;J. Grisham
为了确定自杀的危险因素，在一项前瞻性研究中评估了6，891名精神科门诊患者。随后的死亡样本通过国家死亡指数确定。49例（1%）自杀是根据从州人口动态统计办公室获得的死亡证明确定的。具体的心理变量，可以通过临床干预进行修改，使用标准化量表进行测量。单因素生存分析显示，抑郁的严重程度，绝望，自杀意念是最终自杀的重要危险因素。多变量生存分析表明，几个可修改的变量是自杀的重要和独特的危险因素，包括自杀意念，重性抑郁症，双相情感障碍和失业状况。
To determine the risk factors for suicide, 6,891 psychiatric outpatients were evaluated in a prospective study. Subsequent deaths for the sample were identified through the National Death Index. Forty-nine (1%) suicides were determined from death certificates obtained from state vital statistics offices. Specific psychological variables that could be modified by clinical intervention were measured using standardized scales. Univariate survival analyses revealed that the severity of depression, hopelessness, and suicide ideation were significant risk factors for eventual suicide. A multivariate survival analysis indicated that several modifiable variables were significant and unique risk factors for suicide, including suicide ideation, major depressive disorder, bipolar disorder, and unemployment status.