中国临床心理学杂志

综合医院住院患者冲动性与自杀意念的关系研究

作者：唐秋萍¹ 苗冰¹ 冯岩² 潘辰¹ 邓云龙¹

单位：1. 中南大学湘雅三医院心身健康研究所长沙 410013
2. 北京四中网校吴江分校苏州 215200

关键词：自杀意念冲动性住院患者

分类号：R395.2

出版年,卷(期):页码：2014,22(1):115-118

摘要：

目的:研究综合医院住院患者的冲动性与自杀意念之间的关系。方法:采用自编一般资料问卷、自杀意念评估、MINI访谈中自杀危险性访谈及中文版Barratt冲动性量表对708例综合医院的住院患者进行调查。结果:①既往存在自杀意念者占10.5%,近期(一个月内)存在自杀意念者占4.8%;②既往有自杀意念者的冲动性总分及运动冲动性因子显著高于既往无自杀意念的患者;③多因素Logistic回归分析发现,运动冲动性、性别对既往自杀意念有显著的预测作用。高运动冲动性得分者出现自杀意念的可能性是低运动冲动性得分者的3.01倍;④既往出现自杀意念而近1个月内无自杀意念的患者在运动冲动性上的得分显著高于最近1个月出现自杀意念的患者。结论:运动冲动性可能对综合医院住院患者自杀意念有一定的预测作用。

Objective:To explore the relationship between suicide ideation and impulsivity in inpatients in general hospital. Methods:Chinese Version of Barratt Impulsivity Scale, suicidal ideation assessment and Mini-International Neuropsychiatric Interview(MINI) were used in 708 inpatients. Results:①The incidence of past suicidal ideation was 10.5%, and the prevalence rate of current suicidal ideation(within one month) detected by MINI was 4.8%. ②The total score and the score of motor impulsiveness of BIS-11 in inpatients with history of suicidal ideation were significantly higher than those without history of suicidal ideation. ③Multi-factors Logistic regression analysis showed that motor impulsiveness, gender had significant predictive effecst on suicidal ideation. Possibility of suicidal ideation in inpatients with high scores of motor impulsiveness was 3.01 times as in those with low motor impulsiveness score. ④Compared to inpatients with current suicidal ideation, higher motor impulsiveness was found in inpatients with history of suicidal ideation. Conclusion: Motor impulsiveness may be an important predictor of suicidal ideation in patients in general hospital.

基金项目：

湖南省自然科学基金资助(10JJ2021)

作者简介：

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