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IntroductionNeuropsychiatric disturbance is common in individuals with Lewy body dementia (LBD). Despite this, there is minimal research regarding suicide risks in this population.MethodsThis study was a retrospective review of a prospectively-collected database at a tertiary movement disorders clinic. Database participants with an LBD diagnosis at their most recent visit and at least one complete Beck Depression Inventory-II (BDI-II) were included. Additional measures included demographics and measures of cognition, psychiatric symptoms, motor function, and the Parkinson Disease Questionnaire-39. The frequency of suicidal ideation was assessed using question 9 of the BDI-II. Features associated with a BDI-II score greater than zero were assessed using logistic regression.ResultsThe database included 95 individuals with LBD and at least one BDI-II (visit years 2010–2020). Most participants were older men who identified as white. Eighteen individuals (18.9%; 95% CI 12.3%–28.0%) reported thoughts of killing themselves without an intent to carry them out (BDI-II = 1). No participants reported a desire or plan to kill themselves. The presence of SI was associated with measures of depression, anxiety, and emotional well-being, but not with demographics, measures of disease severity, or other psychiatric concerns.ConclusionThese findings emphasize the importance of routine screening for psychiatric symptoms in LBD and intervention when such concerns are identified. Interventions could include pharmacologic (e.g. depression treatment) and non-pharmacologic (e.g. firearm screening) approaches. More research is needed to assess suicidal ideation and suicide risks in large and more diverse LBD populations. Prospective studies should include measures of additional potential contributors to suicidality. 相似文献
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目的:探讨济南市某师范院校大学生的自杀意念状况与所经历负性生活事件、个体心理资本的关系。方法:采用青少年生活事件量表、积极心理资本问卷和自杀意念量表对济南市某师范院校499名在校大学生进行问卷调查。结果:大学生自杀意念检出率为8.02%,不存在性别差异。大学生的负性生活事件得分与自杀意念总分呈显著正相关(r=0.32,P0.01),心理资本水平与自杀意念呈显著负相关(r=-0.60,P0.01)。Bootstrap方法分析显示心理资本在负性生活事件与自杀意念之间的中介效应占总效应的33.33%。结论:该师范院校学生自杀意念较高,其自杀意念与所经历负性生活事件、个体心理资本高度相关,心理资本在负性生活事件和自杀意念间起部分中介作用。 相似文献
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目的:分析在校大学生预防自杀意念的外在保护因素。方法:采用分层抽样、三阶段抽样等方法,应用NCS-R自杀意念量表,对某北京高校两个学年的大学生(n=1256)的学习与生活状况进行调查,并进行logistic回归分析。结果:在校大学生有自杀意念的有173人(占13.77%);积极参加班级活动、经常参加体育锻炼等则是大学生群体减少自杀意念的保护因素,差异有统计学意义(均P<0.05)。结论:积极参加班级课外活动及体育锻炼对预防自杀意念有正向影响,建议作为大学生自杀预防的外在保护因素而加以重视。 相似文献
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Jessie R. Baldwin Louise Arseneault Avshalom Caspi Terrie E. Moffitt Helen L. Fisher Candice L. Odgers Antony Ambler Renate M. Houts Timothy Matthews Dennis Ougrin Leah S. Richmond-Rakerd Ryu Takizawa Andrea Danese 《Journal of the American Academy of Child and Adolescent Psychiatry》2019,58(5):506-513
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目的 探讨中国大陆中学生自杀意念者的自杀尝试发生率,为预防中学生自杀及开展相应的心理健康教育提供参考。方法 使用Stata 15.0软件对文献检索获得的28篇文献进行元分析。结果 中学生自杀意念者自杀尝试发生率在4%~32%之间,基于随机效应模型的合并转换后率为18%(95%CI:14.5%~21.7%); 敏感性分析显示, 研究结果较稳定。单个和多个协变量的元回归分析发现异质性仅与文献质量评分不同有关(P<0.01)。结论 中国大陆中学生自杀意念对其自杀尝试行为有较高的预测作用。 相似文献
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《L'Encéphale》2022,48(6):632-637
ObjectivesBipolar disorder is one of the most common and severe psychiatric conditions. It is frequently complicated by suicidal behaviors, and patients with BD are among those at higher risk of suicide. The aims of our study were to evaluate the predictive factors of suicidal behaviors in patients with BD type 1, through the assessment of their socio-demographic, clinical and evolutionary characteristics as well as to study the implications of the childhood traumas and impulsivity as predictive factors for suicidal behaviors in these patients with bipolar disorder.MethodsOne hundred patients with bipolar disorder type 1were recruited in order to conduct a cross-sectional, analytical and comparative study. The recruitment involved a first group made up of 40 patients suffering from type 1 bipolar disorder with a history of suicidal acts. This group was compared with a second group made up of 60 patients with no history of attempted suicide. We used a pre-established collection sheet for collecting socio-demographic, clinical and therapeutic data. We also used the Childhood Trauma Questionnaire for the assessment of childhood adversities, the Barratt Impulsivity Scale in its eleventh version for the assessment of impulsivity levels and the Global Assessment of Functioning Scale for the evaluation of overall functioning.ResultsThe suicidal behaviors in patients with bipolar disorder were significantly associated with: female gender (P < 0.001), professional instability (P = 0.002), family history of BD (P = 0.02), family history of other psychiatric disorders (P = 0.003), frequency of depressive episodes (P = 0.002), shorter remission (P = 0.025), more subsyndromal symptoms (P = 0.029), sexual abuse dimension (P = 0.009), and a high level of impulsivity (P < 0.001). The predictive factors for suicidal behaviors in multivariate analysis, after adjusting for the confounding variables were: childhood sexual abuse (P = 0.01; adjusted OR 4.5; 95% CI 1.44–14.2), a high level of impulsivity (P = 0.002; adjusted OR 6.6; 95% CI 2–20), a higher rate of depressive episodes (P = 0.003; adjusted OR 5; 95% CI 1.69–14.2) and more subyndromal symptoms (P = 0.007; adjusted OR 5.8; 95% CI 1.63–20).ConclusionsSuicide prevention is an important mental health subject. It would be imperative to include systematic screening for childhood adversities and adequate management of bipolar disorder and impulsivity. 相似文献