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주요우울장애 환자의 자살시도와 임상평가 척도 결과의 차이
Discrepancies between Suicide Attempt and the Result of Clinical Rating Scales in Patients with Major Depressive Disorder

생물치료정신의학 2014년 20권 1호 p.80 ~ p.86

이창훈(Lee Chang-Hun) - 동아대학교 의과대학 정신과학교실
박재홍(Park Jae-Hong) - 동아대학교 의과대학 정신과학교실
최병무(Choe Byeong-Moo) - 동아대학교 의과대학 정신과학교실
유재호(Yoo Jae-Ho) - 동아대학교 의과대학 소아청소년과학교실
김성환(Kim Seong-Hwan) - 동아대학교 의과대학 정신과학교실

Abstract

Objectives：The aim of this study was to examine a usefulness of the Beck Scale for Suicidal Ideation(BSI) and the Beck Hopelessness Scale(BHS) to assess the risk of current suicide attempt in patients with major depressive disorder.

Methods： Eighty-seven patients with major depressive disorder were participated in this study. All patients were recruited from the psychiatric outpatient clinic or inpatient ward of Dong-A university hospital. We categorized the participants into three groups according to their history of suicide attempts : current suicide attempters, past suicide attempters, non-attempters. The suicide idea and hopelessness of the participants were assessed by the BSI and the BHS, respectively. Also, severity of depression in all subjects was assessed by the Hamilton Rating Scale for Depression(HAM-D).

Results： The sum scores of the BSI and the BHS were significantly higher in current suicide attempters and past suicide attempters than non-attempters. However, those were not significantly different between current suicide attempters and past suicide attempters. And the sum score of the HAM-D was significantly higher in current suicide attempters than other two groups. But, it was not significantly different between past suicide attempters and non-attempters.

Conclusion： The results of present study suggest that the BSI and the BHS may have limited ability to identify current suicide risk in patients with major depressive disorder. In clinical practice, it is necessary to assess the clinician rating scale such as the HAM-D for evaluating the risk of current suicide attempt.

키워드

자살시도, 자살사고, 무망감, 주요우울 장애

Suicide attempt, Suicidal idea, Hopelessness, Major depressive disorder

KMID : 0605720140200010080

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주제코드

주제명(Target field)

연구대상(Population)

연구참여(Sample size)

대상성별(Gender)

질병특성(Condition Category)

연구환경(Setting)

연구설계(Study Design)

연구기간(Period)

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중재명칭(Intervention Name)

키워드(Keyword)

유효성결과(Recomendation)

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DOI

KCD코드

ICD 03

건강보험코드

주요우울장애 환자의 자살시도와 임상평가 척도 결과의 차이 Discrepancies between Suicide Attempt and the Result of Clinical Rating Scales in Patients with Major Depressive Disorder

Abstract

키워드

주요우울장애 환자의 자살시도와 임상평가 척도 결과의 차이
Discrepancies between Suicide Attempt and the Result of Clinical Rating Scales in Patients with Major Depressive Disorder