摘要
目的研究成人癫痫患者自杀风险及相关危险因素。方法采用简明国际神经精神访谈(MINI)自杀风险模块和抑郁障碍模块对211例我院门诊的成年癫痫患者进行心理评估,并详细记录患者的年龄、性别、就业状况、婚姻、教育年限、发病年龄、病程、发作类型、发作频率、头颅MRI结果以及使用抗癫痫药种数,比较上述因素与自杀风险的关系。结果本组病例中有自杀风险的患者占21.3%(45/211),伴抑郁障碍的患者占17.1%(36/211);而伴抑郁障碍患者的自杀风险高达75.0%(27/36),非抑郁障碍患者的自杀风险达10.3%(18/175),差异有统计学意义(χ2=74.525,P<0.01)。结论伴抑郁障碍的癫痫患者自杀风险更高。
Objective To investigate the relationships between the suicide risk and risk factors in adult patients with epi-lepsy.Methods Two hundred and eleven adult patients with epilepsy in our hospital were evaluated by the suicide and depres-sive disorder module of mini international neuropsychiatric interview （MINI） ,and then the age ,gender ,employment status , marital status ,education years ,onset age ,seizure types ,seizure frequency ,epilepsy duration ,MRI result and antiepileptic drug types of these patients were recorded.The relationship between the above factors and suicide risk was compared.Results＆nbsp;The suicide risk of epilepsy patients was 21.3% （45/211） ,and the depressive disorder of patients was 17.1% （36/211）;the suicide risk was 75.0% （27/36） in epilepsy patients associated with depressive disorder ,10.3% （18/175） in epilepsy patients associated without depressive disorder ,respectively.Conclusion The suicide risk is higher in patients with depressive disorder.
出处
《中国实用神经疾病杂志》
2014年第22期8-10,共3页
Chinese Journal of Practical Nervous Diseases
关键词
癫痫
自杀
危险因素
Epilepsy Suicide Risk factors
