Suicidality among pregnant women in Brazil: prevalence and risk factors
Suicidality among pregnant women in Brazil: prevalence and risk factors
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巴西孕妇的自杀倾向：发生率和风险因素
DOI：
10.1007/s00737-015-0552-x
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发表时间：
2016-04-01
影响因子：
4.5
通讯作者：
Correa, Humberto
中科院分区：
文献类型：
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作者：
Castro e Couto, Tiago;Martins Brancaglion, Mayra Yara;Correa, Humberto
自杀是可预防死亡的主要原因之一。我们评估了在巴西参加产前护理的孕妇中的自杀倾向。共255例患者进行了评估，使用半结构化访谈以及爱丁堡产后抑郁量表（EPDS），贝克抑郁量表（BDI），和迷你国际神经精神访谈（MINI）加。此后，Stata 12被用于使用单变量和多变量分析来确定参与者中当前自杀风险（CSR）的显著预测因素（p < 0.05）。根据MINI Plus模块C，终身自杀未遂率为12.55%。总体CSR为23.53%，分布在低（12.55%）、中度（1.18%）和高（9.80%）风险水平之间。我们的比率接近另一项巴西研究的结果（18.4%）。在单变量分析中，抑郁症（AD）、终生双相情感障碍和任何当前焦虑障碍（使用MINI测量）以及BDI评分千分之一15和EPDS评分千分之一11被确定为阳性风险因素（p < 0.001）。这些因素在多变量分析后发生了变化，只有教育年限[比值比（OR）= 0.45; 95%置信区间（CI）= 0.21-0.99]，AD（OR = 3.42; 95%CI = 1.37-8.53），EPDS评分a千分率11（OR = 4.44; 95%CI = 1.97-9.97）仍为独立危险因素。AD和其他精神疾病是自杀的主要危险因素，尽管在多变量分析后只有前者仍然是一个独立因素。超过10年的教育和EPDS分数千分之一11也是独立因素;后者可以用作自杀风险的筛查工具。
Suicide is one of the major causes of preventable death. We evaluated suicidality among pregnant women who participated in prenatal care in Brazil. A total of 255 patients were assessed using semi-structured interviews as well as the Edinburgh Postnatal Depression Scale (EPDS), Beck Depression Inventory (BDI), and Mini-International Neuropsychiatric Interview (MINI) Plus. Thereafter, Stata 12 was used to identify the significant predictors of current suicide risk (CSR) among participants using univariate and multivariate analyses (p < 0.05). According to MINI Plus module C, the lifetime suicide attempt rate was 12.55 %. The overall CSR was 23.53 %, distributed across risk levels of low (12.55 %), moderate (1.18 %), and high (9.80 %). Our rates approximate those found in another Brazilian study (18.4 %). Antenatal depression (AD), lifetime bipolar disorder, and any current anxiety disorder (as measured using the MINI) as well as BDI scores a parts per thousand yen15 and EPDS scores a parts per thousand yen11 were identified as positive risk factors in a univariate analysis (p < 0.001). These factors changed after a multivariate analysis was employed, and only years of education [odds ratio (OR) = 0.45; 95 % confidence intervals (CIs) = 0.21-0.99], AD (OR = 3.42; 95 % CIs = 1.37-8.53), and EPDS scores a parts per thousand yen11 (OR = 4.44; 95 % CIs = 1.97-9.97) remained independent risk factors. AD and other psychiatric disorders were the primary risk factors for suicidality, although only the former remained an independent factor after a multivariate analysis. More than 10 years of education and EPDS scores a parts per thousand yen11 were also independent factors; the latter can be used as a screening tool for suicide risk.