The influence of cognition on suicidal ideation of major depressive patients
10.3760/cma.j.issn.1674-6554.2019.09.013
- VernacularTitle: 重性抑郁障碍患者认知功能对自杀意念的影响
- Author:
Wei LI
1
;
Chengjun JI
1
;
Fude YANG
2
;
Qingtao BIAN
3
;
Yongsheng TONG
4
;
Zhiren WANG
5
;
Kebing YANG
1
;
Haipeng CAI
1
;
Xin WANG
1
;
Yunlong TAN
2
Author Information
1. Physical Therapy Center, Peking University Huilongguan Clinical Medical School, Beijing Huilongguan Hospital, Beijing 100096, China
2. Hospital Office Department, Peking University Huilongguan Clinical Medical School, Beijing Huilongguan Hospital, Beijing 100096, China
3. The First Clinical Department, Peking University Huilongguan Clinical Medical School, Beijing Huilongguan Hospital, Beijing 100096, China
4. Center for Psychological Crisis Research and Intervention, Peking University Huilongguan Clinical Medical School, Beijing Huilongguan Hospital, Beijing 100096, China
5. Science and Technology Department, Peking University Huilongguan Clinical Medical School, Beijing Huilongguan Hospital, Beijing 100096, China
- Publication Type:Clinical Trail
- Keywords:
Depression;
Suicidal ideation;
Cognition;
Attention;
Memory
- From:
Chinese Journal of Behavioral Medicine and Brain Science
2019;28(9):827-831
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze the influence of cognition on suicidal ideation in patients with major depressive disorder.
Methods:A total of 108 inpatients with major depressive disorder from January 2017 to September 2018 in Beijing Huilongguan Hospital were enrolled.They were divided into suicidal ideation group (n=42) and non-suicidal ideation group (n=66) by the self-rating idea of suicide scale (SIOSS). Cognition was assessed by Repeatable Battery for the Assessment of Neuropsychological Status(RBANS). The general situation was assessed by self-made general situation questionnaire.The related factors were analyzed by Logistic regression.
Results:(1) The rate of suicidal ideation was 44.4% in patients with major depressive disorder.(2) The total score of RBANS and five-factor scores of RBANS in suicidal ideation group were lower than those in non-suicidal ideation group(total RBANS score(63.0±7.9) vs (73.8±7.7); immediate memory: (62.7±8.8) vs (70.8±7.6); visual span: (67.2±10.0) vs (72.7±9.8); speech function: (83.3±13.8) vs (91.5±4.5); attention: (85.3±11.9) vs (99.9±8.5); delayed memory: (53.5±7.7) vs (62.3±9.7), F=6.335-46.660, P<0.05). (3)Logistic regression showed, years of education were risk factors for suicidal ideation(β=0.289, P=0.013, OR=1.335, 95%CI=1.063-1.676), RBANS attention factor(β=-0.161, P=0.000, OR=0.851, 95%CI=0.778-0.931)and RBANS delayed memory factor score(β=-0.151, P=0.006, OR=0.860, 95%CI=0.772-0.957)were protective factors for suicidal ideation.
Conclusion:Cognitive function has an impact on suicide ideation of depressive patients, mainly attention and delayed memory are protective factors for suicide ideation.
