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首页> 外文期刊>Psychosomatic Medicine: Journal of the American Psychosomatic Society >Depression and suicidal ideation in patients who discontinue the life-support treatment of dialysis.
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Depression and suicidal ideation in patients who discontinue the life-support treatment of dialysis.

机译：中止生命支持性透析治疗的患者的抑郁和自杀观念。

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OBJECTIVE: The objective of this study was to determine the prevalence of major depression and suicidal ideation in patients who stop the life-support treatment of dialysis. METHODS: The authors prospectively studied 79 subjects who discontinued maintenance dialysis at eight facilities in North America. Structured interviews were conducted with 23 patients and 76 families. RESULTS: The prevalence of major depression in the sample was between 5% and 25%, and only 1 of 22 patients considered himself to have the illness of depression. Approximately 12% of the respondents were unsure or believed that discontinuing dialysis was the equivalent of suicide. This belief did not correlate with measures of depression. In comparison with the general population there seemed to be an increased prevalence of past suicide attempts. CONCLUSIONS: Most patients who decide to stop dialysis do not seem to be influenced by major depression or ordinary suicidal ideation. Although the sample size was small, these results highlight the need to further examine the theoretical framework and terminology of depression and suicide in the context of terminal illness.
机译：目的：本研究的目的是确定停止透析生命支持治疗的患者中严重抑郁和自杀意念的患病率。方法：作者前瞻性研究了在北美的8个设施中停止维持透析的79名受试者。对23名患者和76个家庭进行了结构化访谈。结果：样本中的严重抑郁症患病率在5％至25％之间，在22位患者中只有1位认为自己患有抑郁症。大约12％的受访者不确定或认为停止透析等同于自杀。这种信念与抑郁的程度没有关系。与一般人群相比，过去自杀未遂的发生率似乎有所上升。结论：大多数决定停止透析的患者似乎不受重度抑郁或普通自杀观念的影响。尽管样本量很小，但这些结果表明，有必要进一步研究绝症背景下的抑郁和自杀的理论框架和术语。

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