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Suicidality in Major Depressive Disorder in a Nigerian Psychiatric Hospital—Is There Any Relationship?

机译:尼日利亚精神病院的主要抑郁症的自由性 - 有没有关系?

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Background: There is increasing resurgence of suicide globally, especially in developing countries, probably owing to socio-economic instability. Majority of suicidal phenomenon is attributed to depressive disorders, which significantly contribute to the global burden of diseases. Aim: This study assessed the prevalence and correlates of suicidality (suicidal ideation and attempts) among adult outpatients with major depression at Federal Neuro-Psychiatric Hospital (FNPH), Benin City, Nigeria. Method: A cross-sectional study con ducted between March and June 2018 utilizing systematic random sampling of eligible participants, aged between 18 and 64 years. One hundred and thirty-two patients with major depression, with their diagnosis confirmed with the De pression module of the Mini International Neuropsychiatric Interview (MINI) were recruited. A Socio-Demographic Questionnaire, the Brief Psychiatric Rating Scale (BPRS), the Pittsburgh Sleep Quality Index (PSQI) and Suicidality Module of MINI were administered to consented participants. Results: The past month prevalence of suicidality and suicidal ideation were 47.7% (n = 63) and 36.4% (n = 48) respectively. While, the lifetime prevalence of suicidal attempts was 18.2% (n = 24), the current suicidal ‘moderate-high risk’ was 12.1% (n = 16). Participants were 35% more likely to report suicidality for every unit increase in symptom severity (BPRS score) (aOR 1.35; 95% CI 1.20 - 1.52, P = 0.001). Conclusion: Suicidality is common among outpatients with major depression at the Federal Neuro-Psychiatric Hospital, Benin City. Severity of psychopathology was an independent risk factor for suicidality in depressive disorder.
机译:背景:全球自杀的复苏,特别是在发展中国家,可能导致社会经济不稳定。大多数自杀现象归因于抑郁症,这显着促进了全球疾病负担。 目的:本研究评估了在尼日利亚联邦神经精神病院(FNPH)的主要抑郁症中成人门诊患者的自由性(自杀思想和尝试)的患病率和相关性。 方法:利用符合条件的参与者的系统随机抽样,在2018年3月和6月之间进行了横断面研究,其次是18至64岁之间的系统随机抽样。招募了一百三十二名重大抑郁症患者,招聘了迷你国际神经精神科(迷你)的DE压力模块确诊的诊断。在同意的参与者管理迷你的社会人口调查问卷,简短的精神评级规模(BPRS),匹兹堡睡眠质量指数(PSQI)和自由力模块。 结果:自由性和自杀素达到的过去一个月患病率分别为47.7%(n = 63)和36.4%(n = 48)。虽然,自杀性尝试的寿命患病率为18.2%(n = 24),目前的自杀“中度高风险”为12.1%(n = 16)。参与者为每单位增加症状严重程度(BPRS得分)增加了35%的可能报告自由性(BPRS得分)(AOR 1.35; 95%CI 1.20 - 1.52,P = 0.001)。 结论:自由抑郁症联邦神经精神病院,贝宁市的外分抑郁症是常见的。精神病理学的严重程度是抑郁症的自由性的独立危险因素。

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