주요우울증에서 자살경향성 : 공존질환의 영향

• 영문명: Suicidality in Major Depressive Disorder : The Impact of Psychiatric Comorbidity
• 발행기관: 대한신경정신의학회
• 저자명: 정지원 김희철 사공정규 성형모 정성원 이은정 신임희 김정범
• 간행물 정보: 『신경정신의학』제51권 제2호, 85~92쪽, 전체 8쪽
• 주제분류: 의약학 > 정신과학
• 파일형태: PDF
• 발행일자: 2012.03.31

영문 초록

ObjectivesGenerally, major depressive disorder (MDD) with psychiatric comorbidities is associated with a high suicide rate. However, this relationship has not been studied much in Korea. In this study, we evaluated the suicidality in MDD with psychiatric comorbidities. MethodsThis study was performed on patients who visited the psychiatric department of three university hospitals in the Gyeongbuk area from March 2008 to September 2011. In total, 776 patients were evaluated with the Mini-International Neuropsychiatric Interview-Plus (MINI-Plus), and 288 with MDD were recruited for the study. Suicidality and suicidal risks were evaluated in the MINI-Plus questionnaire. ResultsMDD patients with comorbidities had a significantly higher suicidality and suicidal risk than patients with pure MDD. Suicidality was significantly higher in an anxiety disorder group with comorbidity than in the pure MDD group. As the total number of comorbidities got higher, the suicidality increased, and suicidal risks had significant differences depending on the total number of comorbidities ConclusionThese results suggest that an MDD patient with comorbidities has a higher suicidality and suicidal risk. In clinical settings, comorbid MDD patients should be approached with more aggressive psychiatric intervention of their suicidal thoughts and actions

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키워드

Major depressive disorder Comorbidity Suicidality Suicidal risk