Suicidal ideation in family carers of people with dementia
Suicidal ideation in family carers of people with dementia
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DOI：
10.1080/13607863.2015.1063109
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发表时间：
2016-02-01
影响因子：
3.4
通讯作者：
De Leo, Diego
中科院分区：
文献类型：
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作者：
O'Dwyer, Siobhan T.;Moyle, Wendy;De Leo, Diego
目的：两项小型研究显示，痴呆症患者的家庭照顾者可能是自杀的高危人群。本研究的目的是进一步探讨自杀意念率在大样本的照顾者，并确定心理社会风险和保护factors.Method：一个横断面调查，566家庭照顾者。调查包括自杀倾向，自我效能，身体健康，抑郁，焦虑，绝望，乐观，负担，应对策略和社会supports.Results的措施：百分之十六的照顾者曾考虑自杀一次以上，在过去的一年。自杀和非自杀照顾者之间的自我效能，社会支持，应对，负担，抑郁，焦虑，绝望，乐观，生活的原因，痴呆症的症状，以及年龄和收入管理的单变量差异。在多变量模型中，年龄、抑郁和生活原因预测自杀意念。在调解测试中，满意度与社会支持和功能失调的应对自杀意念通过depression.Conclusion：老年痴呆症患者的家庭照顾者有自杀意念的高比率，抑郁症的危险因素和年龄的增加和生活的保护因素的原因。抑郁症和生活的原因应该是干预措施的目标，以减少痴呆症照顾者的自杀风险。
Objective: Two small studies have suggested that family carers of people with dementia may be a high-risk group for suicide. The objective of this study was to further explore the rate of suicidal ideation in a large sample of carers and identify psychosocial risk and protective factors.Method: A cross-sectional survey was conducted with 566 family carers. The survey included measures of suicidality, self-efficacy, physical health, depression, anxiety, hopelessness, optimism, burden, coping strategies, and social support.Results: Sixteen percent of carers had contemplated suicide more than once in the previous year. There were univariate differences between suicidal and non-suicidal carers on self-efficacy, social support, coping, burden, depression, anxiety, hopelessness, optimism, reasons for living, and symptoms of dementia, as well as age and income management. In a multivariate model, age, depression, and reasons for living predicted suicidal ideation. In tests for mediation, satisfaction with social support and dysfunctional coping had indirect effects on suicidal ideation via depression.Conclusion: Family carers of people with dementia have high rates of suicidal ideation, with depression a risk factor and increasing age and reasons for living as protective factors. Depression and reasons for living should be targeted in interventions to reduce suicide risk in dementia carers.