Suicide risks and related factors among older inpatients with depression
10.3760/cma.j.issn.1674-2907.2014.13.016
- VernacularTitle:老年抑郁症住院患者自杀风险评估与相关因素分析
- Author:
Jianfang XU
1
;
Xia LI
;
Yu LIU
Author Information
1. 100191,北京大学第六医院北京大学精神卫生研究所卫生部精神卫生学重点实验室
- Keywords:
Elderly;
Depression;
Suicide;
Risk assessment;
Inpatients
- From:
Chinese Journal of Modern Nursing
2014;20(13):1537-1540
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the changing styles of suicide risks among older inpatients with depression so as to provide information for nurses and physicians about better management on suicide risks.Methods A retrospective study was used and convenient sampling was used to review 100 medical records of previous older inpatients with depression.The changing styles of suicide risks and suicide events were analyzed and related factors were explored.Results Sixty percent of older depressed inpatients were assessed with suicide risks.There was a significantly correlation (rs =0.55,P =0.00) between the score of suicide risks and depression at the moment of admission.As the level of depression increased,the score of suicide risks increased.Higher suicide risks were correlated with patients' employing status,health status,and career achievements(P ＜ 0.05).Patients with unemployed,had other illness,and lower career achievements had higher score on suicide risks.During the hospital stay,the time of suicide risks to decrease was only related to previous stressful events (x2 =5.72,P =0.017).Scores on suicide risks among inpatients with previous stressful events were decreased slower than inpatients without previous stressful events.Conclusions There is a high proportion among older depressed inpatients with suicide risks.The suicide risks are influenced by multiple factors.Elderly inpatients with depression need to be assessed dynamically.Older depressed inpatients with previous stressful events require more attention on dynamic assessment and targeted intervention avoiding suicide.
