Analysis of Multiple Suicide Risk Factors of Psychiatric Inpatients by Severity Using the SAD PERSONS and Modifi ed SAD PERSONS Scale in Taiwan

使用SAD PERSONS及Modified SAD PERSONS量表分析自殺嚴重性的相關因子

張簡德璋(Te-Chang Changchien) ； 江允志(Yung-Chih Chiang) ； 顏永杰(Yung-Chieh Yen) ； 竇秀蘭(Shiou-Lan Dou) ； 齊美婷(Mei-Ting Chi) ； 陸悌(Ti Lu)

《台灣精神醫學》 29卷3期 (2015/09) Pp. 155-162+i

摘要

目的：自殺在台灣是個重大公共衛生議題，因此，我們需要分析從Modified SAD PERSONS以及SAD PERSONS量表篩選的十三個評估項目與本土自殺資料的關聯性。方法：此回朔性研究收案210個住院病人，以病歷回顧的方式，將病人分為三組：非自殺組、自殺意念組以及自殺企圖組，分配給精神科專科醫師進行十三個項目的的評分後，以卡方分析檢驗三組不同自殺嚴重度的個案在一般人口學、此十三個自殺風險項目的差異性，再進一步以邏輯式回歸方法檢驗自殺與這些風險項目的相關性。結果：年齡（p＜0.01）、憂鬱症狀（p＜0.001）、自殺史（p＜0.001）、思考障礙（p＜0.001）、自殺計畫（p＜0.001）、自己陳述未來自殺企圖（p＜0.001）與目前生活壓力（p＜0.001）等項目在三組個案間達到顯著地差異性，而更進一步可發現這些項目與自殺嚴重度呈現正相關性。結論：除了年齡以及思考障礙兩個項目以外，其他項目在本土資料的發現與國外文獻的發現相似。

關鍵字

自殺企圖 ； 自殺意念 ； 嚴重度 ； 危險因子

並列摘要

Background: Suicide risk evaluation is a public health priority in Taiwan. In this preliminary study, we intended to do a correlation study between 13 individual items derived from the Modified SAD PERSONS scale and the SAD PERSONS scale relative to suicide among ethnic Chinese subjects. Methods: We retrospectively reviewed 210 inpatient medical records and classified patients' suicidal severity into three groups: (A) non-suicide group, (B) suicidal ideation group, and (C) attempted suicide group for analysis. Results: Seven items-age (p＜0.01), depression (p＜0.001), previous attempt (p＜0.001), rational thought loss (p＜0.001), organized plan (p＜0.001), stated future intent (p＜0.001), and current life stressor (p＜0.001) were significant, indicating that these seven risk factors are distinctly important among these groups. Further group-to-group relationships showed that the ＂the proportion of the suicidal ideation group or attempted suicide group was always significantly greater than that of the non-suicide group＂ in most factors, except those correlated to ＂age＂ and ＂rational thought loss＂ factors. Conclusion: Five factors-depression (p＜0.05), previous attempt (p＜0.01), organized plan (p＜0.01), stated future intent (p＜0.01), and current life stressor (p＜0.01) were significantly to be strongly associated with suicide in our study. Among the factors, ＂organized plan＂ and ＂previous attempt＂ were strongest significant predictors.

並列關鍵字

attempted suicide ； risk factors ； severity ； suicidal ideation