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：
2000-06-01
影响因子：
5.9
通讯作者：
Grisham, JR
中科院分区：
文献类型：
--
作者：
Brown, GK;Beck, AT;Grisham, JR
为了确定自杀的风险因素，在一项前瞻性研究中对6891名精神科门诊患者进行了评估。通过国家死亡索引确定了该样本随后的死亡情况。从州生命统计办公室获取的死亡证明中确定了49例（1%）自杀事件。使用标准化量表测量了可通过临床干预改变的特定心理变量。单变量生存分析显示，抑郁的严重程度、绝望感和自杀意念是最终自杀的重要风险因素。多变量生存分析表明，几个可改变的变量是自杀的重要且独特的风险因素，包括自杀意念、重度抑郁症、双相情感障碍和失业状态。
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.