摘要
目的分析复发性抑郁障碍患者自杀行为的相关因素并构建风险列线图模型。方法回顾性分析2021年5月至2022年5月137例复发性抑郁障碍患者临床资料,依据患者在1个月内是否有自杀行为分为自杀行为组和无自杀行为组构建模型,并对纳入2022年6—10月的58例患者进行验证。结果结果显示,饮酒史、重大精神创伤史、伴精神病性症状、伴焦虑症状、自杀意念、抑郁程度、不服用抗抑郁药物是患者发生自杀行为的独立危险因素(p<0.05);模型ROC曲线下面积为0.913。结论复发性抑郁障碍患者普遍有自杀行为,模型在复发性抑郁障碍患者自杀行为方面具有良好预测效能和临床适用性。
Objective To analyze the related factors of suicidal behavior in patients with recurrent depressive disorder and build a risk nomogram model.Methods The clinical data of 137 patients with recurrent depressive disorder from May 2021 to May 2022 were retrospectively analyzed.The patients were divided into suicidal behavior group and non-suicidal behavior group according to whether they had suicidal behavior within one month,and the model was validated by 58 patients enrolled from June to October 2022.Results The results showed that history of drinking,history of major mental trauma,concomitant psychotic symptoms,concomitant anxiety symptoms,suicidal ideation,degree of depression,and not taking antidepressant drugs were independent risk factors for suicidal behavior(p<0.05).The area under the ROC curve of the model was 0.913.Conclusion Suicidal behavior is common in patients with recurrent depressive disorder,and the model has good predictive efficacy and clinical applicability in the suicidal behavior of patients with recurrent depressive disorder.
作者
王俞帆
徐涌
陈叶
WANG Yu-fan;XU Yong;CHEN Ye(Shaoxing Seventh People's Hospital)
出处
《医院管理论坛》
2024年第5期62-66,61,共6页
Hospital Management Forum
关键词
复发性抑郁障碍
自杀行为
列线图
Recurrent depressive disorder
Suicidal behavior
Nomogram
