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产后自杀高危因素的相关性分析

Study on Postpartum Suicide and Relevant Highrisk Factors

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【作者】 谢巧明向虎刘玉陶用富秦叔达於明莉

【Author】 XIE Qiao-ming1,XIANG Hu1,LIU Yu1,TAO Yong-fu1,QIN Shu-da2,YU Ming-li3 1.Mental Heath Center of Mianyang,Sichuan Province,Mianyang 621000,China 2.Department of Gynecology and Obstetrics,The Third People’s Hospital of Mianyang,Sichuan Province,Mianyang 621000,China 3.Department of Gynecology and Obstetrics,People’s Hospital of Mianyang,Sichuan Province,Mianyang 621000,China

【机构】 四川省绵阳市精神卫生中心绵阳市第三人民医院妇产科绵阳市人民医院妇产科 四川绵阳621000四川绵阳621000

【摘要】 目的探讨产后自杀发生的高危因素。方法对绵阳市精神卫生中心诊断为产后抑郁并伴有自杀行为和意念的40例住院患者用爱丁堡产后抑郁量表(EPDS)、生活事件量表(LES)和社会支持量表(SSRS)等进行问卷调查和评定,并与健康产妇进行比较,而后用多元逐步回归分析探讨其相关高危因素。结果产后自杀与既往抑郁史、半年内负性生活事件、缺乏社会支持、母婴疾病、夫妻关系等明显相关。结论产前防范和产后危机干预有利于降低产后自杀。

【Abstract】 Objective To identify the high risk factors related to postpartum suicide.Methods A total of 40 women with postpartum depression who had suicidal act or ideation were included in the study.They were evaluated by the Edinburgh Postpartum Depression Scale(EPDS),the Life Events Scale(LES)and the Social Support Rate Scale(SSRS), and compared with healthy postpartum women.The multi- element gradual regression analysis was performed to identify the high risk factors.Results Such factors as prior history of depression,negative l ife events within the previous half year,absence of social support,disease of mothers or infants, and conjugal relationshi p were significantly correlated with postpartum suicide.Conclusion It might be helpful to reduce the incidence of postpartum suicide by prenatal mental intervention and postpartum crisis intervention.

  • 【文献出处】 中国循证医学杂志 ,Chinese Journal of Evidence-Based Medicine , 编辑部邮箱 ,2007年11期
  • 【分类号】B846
  • 【被引频次】1
  • 【下载频次】207
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