Background: Littleisknownaboutsuicidalideationandbehaviours inadjustmentdisorder(AD).Inthispaper
wesoughttoexaminethevariablesindependentlyassociatedwithsuicidalideationandbehaviourinpatients
diagnosedwithADordepressive(DE)episodeamongpsychiatricoutpatientsandinliaisonpsychiatry.
Methods: 370patientswhowerereferredtotheliaisonpsychiatryservices(includingthoseseeninthe
EmergencyDepartment)at3Dublinhospitals,andwereclinicallydiagnosedwitheitherDEorAD,basedon
the ICD10diagnosticcriteria,wererecruitedtothestudy.Weexaminedtheirdemographicandclinical
characteristics,andtheassociationsbetweenthese and suicidalideationandbehaviouronmultivariate
analysis.
Results: Youngerage,singlemaritalstatus,andgreaterseverityofdepressivesymptomsweresignificantly
associatedwithsuicidalityacrossbothdiagnoses.Onmultivariateanalysis,greaterseverityofdepressive
symptomswasassociatedwithsuicidalityinthosewithAD(p¼0.012)andDE(p¼0.009).ThosewithAD
exhibitedsuicidalityatlowersymptomscoresthandidthosewithDEbutinbothgroupsitstilloccurredat
the highestlevelofseverity.Thereweredifferencesintheobjectivecircumstancesmeasureofsuicideintent.
Limitations: Weusedclinicaldiagnosisrather asthemaindiagnosticclassification. Thegeneralisabilityofthis
papermaybelimitedtoconsultation-liaisonpsychiatrysettings,wheresuicidalideationandbehavioursare
common.
Conclusions: SuicidalityinADandDEhasbroadlysimilarriskfactorsbutdifferinaspectsofsuicideintent.
DifferentmechanismsmayunderpinsuicidalityinthosewithADcomparedtoDE
พื้นหลัง: Littleisknownaboutsuicidalideationandbehaviours inadjustmentdisorder(AD)InthispaperwesoughttoexaminethevariablesindependentlyassociatedwithsuicidalideationandbehaviourinpatientsdiagnosedwithADordepressive (DE) episodeamongpsychiatricoutpatientsandinliaisonpsychiatryวิธีการ: 370patientswhowerereferredtotheliaisonpsychiatryservices (includingthoseseenintheEmergencyDepartment) at3Dublinhospitals, andwereclinicallydiagnosedwitheitherDEorAD, basedonICD10diagnosticcriteria, wererecruitedtothestudyWeexaminedtheirdemographicandclinicalลักษณะ andtheassociationsbetweenthese และ suicidalideationandbehaviouronmultivariateวิเคราะห์ผลลัพธ์: Youngerage, singlemaritalstatus, andgreaterseverityofdepressivesymptomsweresignificantlyassociatedwithsuicidalityacrossbothdiagnosesOnmultivariateanalysis, greaterseverityofdepressivesymptomswasassociatedwithsuicidalityinthosewithAD(p¼0.012)andDE(p¼0.009)ThosewithADexhibitedsuicidalityatlowersymptomscoresthandidthosewithDEbutinbothgroupsitstilloccurredathighestlevelofseverityThereweredifferencesintheobjectivecircumstancesmeasureofsuicideintentข้อจำกัด: Weusedclinicaldiagnosisrather asthemaindiagnosticclassification Thegeneralisabilityofthispapermaybelimitedtoconsultation-liaisonpsychiatrysettings, wheresuicidalideationandbehavioursareทั่วไปบทสรุป: SuicidalityinADandDEhasbroadlysimilarriskfactorsbutdifferinaspectsofsuicideintentDifferentmechanismsmayunderpinsuicidalityinthosewithADcomparedtoDE
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ประวัติ : littleisknownaboutsuicidalideationandbehaviours inadjustmentdisorder ( โฆษณา ) inthispaper
wesoughttoexaminethevariablesindependentlyassociatedwithsuicidalideationandbehaviourinpatients diagnosedwithadordepressive ( de ) episodeamongpsychiatricoutpatientsandinliaisonpsychiatry .
( includingthoseseeninthe 370patientswhowerereferredtotheliaisonpsychiatryservices วิธีการ :งานผู้ป่วยอุบัติเหตุและฉุกเฉิน ) at3dublinhospitals andwereclinicallydiagnosedwitheitherdeorad ตาม , ,
icd10diagnosticcriteria wererecruitedtothestudy , ลักษณะ weexaminedtheirdemographicandclinical
, andtheassociationsbetweenthese และการวิเคราะห์ suicidalideationandbehaviouronmultivariate
.
ผล : youngerage singlemaritalstatus andgreaterseverityofdepressivesymptomsweresignificantly
, ,associatedwithsuicidalityacrossbothdiagnoses . onmultivariateanalysis greaterseverityofdepressive
, symptomswasassociatedwithsuicidalityinthosewithad ( P ¼ 0.012 ) andde ( P ¼ 0.009 ) thosewithad
exhibitedsuicidalityatlowersymptomscoresthandidthosewithdebutinbothgroupsitstilloccurredat highestlevelofseverity . thereweredifferencesintheobjectivecircumstancesmeasureofsuicideintent .
ข้อจำกัด :weusedclinicaldiagnosisrather asthemaindiagnosticclassification . thegeneralisabilityofthis liaisonpsychiatrysettings wheresuicidalideationandbehavioursare
papermaybelimitedtoconsultation , ทั่วไป สรุป suicidalityinadanddehasbroadlysimilarriskfactorsbutdifferinaspectsofsuicideintent
.
differentmechanismsmayunderpinsuicidalityinthosewithadcomparedtode
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