Down-rating lifetime suicide risk in major depression
Down-rating lifetime suicide risk in major depression
复制标题
DOI：
10.1111/j.1600-0447.1997.tb09629.x
复制
发表时间：
1997-03-01
影响因子：
6.7
通讯作者：
EyesonAnnan, ML
中科院分区：
文献类型：
--
作者：
BlairWest, GW;Mellsop, GW;EyesonAnnan, ML
25年来，医学界一直认为，每100名严重抑郁障碍(MDD)患者中，有15名最终会自杀。这篇论文论证了这种情况下的终生自杀风险不可能这么高。保守的特定年龄计算得出MDD患者的终生自杀风险为3.5%。选择以医院为基础、自杀风险高的研究人群在指数研究中，当患者多为门诊患者时，是高估自杀风险的主要因素。不断发展的分类系统是另一个因素。就自杀风险而言，MDD不是一个同质的诊断类别。正如已经可靠地复制的那样，经历过住院治疗的一小部分患者确实经历了更大的终生自杀风险。
For 25 years the medical profession has accepted that of every 100 individuals with major depressive disorder (MDD), 15 subjects will ultimately commit suicide. The present paper demonstrates that the lifetime suicide risk in this condition cannot be so high. Conservative age-specific calculations give a lifetime suicide risk in MDD of 3.5%. Selection of hospital-based, high suicide risk, study populations in the index research, when most sufferers are out-patients, is the primary contributor to the overestimation of suicide risk. Evolving classification systems are a further factor. In terms of suicide risk, MDD is not a homogenous diagnostic category. As has been reliably replicated, the small subgroup of patients who have experienced hospital admission do experience a much greater lifetime suicide risk.