Risk factors and protective factors of suicidal behavior in people diagnosed with depression

Katarzyna Kucharska, Robert Gajewski
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Abstract

According to the WHO, over 700,000 people commit suicide annually. Their main cause is clinical depression. It is predicted that by 2030 it will become the most diagnosed ailment among people. In the face of the pandemic of depression and suicidal behaviour, it is important to establish the so-called protective factors. Aim of the study: The main aim of the study was to analyse the relationship between protective factors (spirituality, religiosity) and suicidal risk factors (mental pain, depression, anxiety, fascination with death, coexistence of Borderline Personality Disorder BPD, self-harm) in people with a clinical depression. Methodology: The study was conducted from November 2022 to March 2023 using standardized tools and clinical scales to assess the above-mentioned variables. A total of 167 people were examined, while 96 people were qualified for the study, including 46 patients with depression and 50 people from the control group. Results: A significant number of subjects from the control group declaring mental health showed features of depressive disorders (27%), anxiety disorders (45%) and BPD (31.5%). Depressed participants compared to the control group, showed a lower level of spirituality and religiosity and a higher level of suicidal risk factors. Among people with depression, a positive effect of spirituality on lowering the fascination with death was shown, while religiosity correlated negatively with self-harm. In addition, psychological pain and fascination with death increased with the severity of anxiety, depression, self-harm, and BPD. In the examined group, the level of suicidal risk factors increased along with the religious crisis. Conclusions: The study partially confirmed the protective effect of spirituality and religiosity on people with depression in the context of suicidal risk. Religious crisis turned out to be a significant predictor of suicide risk
抑郁症患者自杀行为的风险因素和保护因素
据世界卫生组织统计,每年有超过 70 万人自杀。自杀的主要原因是临床抑郁症。据预测,到 2030 年,抑郁症将成为人们诊断出的最常见疾病。面对抑郁症和自杀行为的流行,确定所谓的保护因素非常重要。研究目的研究的主要目的是分析临床抑郁症患者的保护性因素(灵性、宗教信仰)与自杀风险因素(精神痛苦、抑郁、焦虑、对死亡的迷恋、同时患有边缘型人格障碍 BPD、自残)之间的关系。研究方法研究于 2022 年 11 月至 2023 年 3 月进行,使用标准化工具和临床量表评估上述变量。共有 167 人接受了检查,96 人符合研究条件,其中包括 46 名抑郁症患者和 50 名对照组患者。研究结果对照组中有相当多的申报心理健康的受试者表现出抑郁障碍(27%)、焦虑障碍(45%)和 BPD(31.5%)的特征。与对照组相比,抑郁症患者的精神和宗教信仰水平较低,自杀风险因素水平较高。在抑郁症患者中,精神信仰对降低死亡迷恋有积极作用,而宗教信仰与自残呈负相关。此外,心理痛苦和对死亡的迷恋会随着焦虑、抑郁、自残和 BPD 的严重程度而增加。在接受研究的群体中,自杀风险因素的水平随着宗教危机的增加而增加。结论研究部分证实了灵性和宗教信仰对抑郁症患者自杀风险的保护作用。宗教危机是自杀风险的一个重要预测因素
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