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首页> 外文期刊>The Australian and New Zealand journal of psychiatry >Risk factors for deliberate self-harm and completed suicide in young Chinese people with schizophrenia.
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Risk factors for deliberate self-harm and completed suicide in young Chinese people with schizophrenia.

机译:中国年轻人患有精神分裂症的故意自我伤害和完全自杀的危险因素。

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摘要

OBJECTIVES: Suicide is best conceptualized as a risk rather than all-or-none behaviour. In the literature the majority of suicide studies have adopted a cross-sectional case-control design. Longitudinal design should be used in order to account for the time dimension of variables. The aim of the present study was therefore to identify risk factors and calculate hazard ratios for suicidal behaviour in young Chinese people suffering from schizophrenia. METHODS: Using a retrospective cohort design, 234 subjects with schizophrenia in the Early Assessment Service for Young People with Psychosis service were recruited and data retrieved from case notes and discharge summaries. Cox proportional hazard modelling was used to analyse potential risk factors. RESULTS: Traditional risk factors were confirmed to be applicable to the present subjects. Continuing medication was a protective factor while hallucination was a risk factor for suicide. CONCLUSION: The limitations of the present study were due to its retrospective design, reliance on past records, and the large Type II error. A prospective cohort study design is recommended for future research in this area.
机译:目标:最好将自杀概念化为一种风险,而不是全有或全无的行为。在文献中,大多数自杀研究都采用横断面病例对照设计。为了考虑变量的时间维度,应使用纵向设计。因此,本研究的目的是确定患有精神分裂症的中国年轻人自杀行为的危险因素并计算危险比。方法:采用回顾性队列研究设计,招募了234例精神分裂症患者,参与了精神病青少年评估服务,并从病例笔记和出院摘要中检索了数据。考克斯比例风险建模用于分析潜在的风险因素。结果:传统的危险因素被证实适用于本研究对象。继续用药是保护因素,而幻觉是自杀的危险因素。结论:本研究的局限性是由于其回顾性设计,对过去记录的依赖以及较大的II型误差。建议前瞻性队列研究设计用于该领域的未来研究。

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