Unveiling Overt and Covert Suicidal Behavior in a Sample of Brazilian Impulsive Outpatients

IF 4.3 3区材料科学 Q1 ENGINEERING, ELECTRICAL & ELECTRONIC

ACS Applied Electronic Materials Pub Date : 2024-09-11 DOI:10.1007/s11469-024-01388-9

Rodolfo Furlan Damiano, Hermano Tavares

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Abstract

The aim of this study is to perform an explorative analysis of potential risk and protective factors for overt and covert suicidal behaviors in a large sample of subjects with Impulse Control Disorder (ICD) and to assess the association between both domains. This is a cross-sectional study with all patients looking for treatment for any ICD, between 1998 and 2019. A total of 2,788 patients with ICD were interviewed at day 0 of treatment with structured and non-structured psychiatric interview. Several multiple regression analyses were performed in order to access potential risk and protective factors for these behaviors. The association between overt and covert suicidal behavior was highly significant (χ2[1] = 164.5, p < 0.001), with an odds ratio of 3.5. In all regression models, we found the nuclei of suicide risk factors of social vulnerability, mental disorder related vulnerability and personality/individual related vulnerability. Our study highlights the importance of including covert suicidal behavior measures when assessing a patient with potential suicidal risk.

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揭示巴西冲动型门诊患者样本中的公开和隐蔽自杀行为

本研究旨在对冲动控制障碍（ICD）大样本受试者公开和隐蔽自杀行为的潜在风险和保护因素进行探索性分析，并评估这两个领域之间的关联。这是一项横断面研究，研究对象为 1998 年至 2019 年间所有寻求治疗的 ICD 患者。共有 2788 名 ICD 患者在接受治疗的第 0 天接受了结构化和非结构化精神病学访谈。为了了解这些行为的潜在风险和保护因素，我们进行了多项多元回归分析。公开和隐蔽自杀行为之间的关系非常显著（χ2[1] = 164.5, p < 0.001），几率比为 3.5。在所有回归模型中，我们发现自杀风险因素的核心是社会脆弱性、精神障碍相关脆弱性和人格/个体相关脆弱性。我们的研究强调了在评估有潜在自杀风险的患者时，纳入隐蔽自杀行为测量的重要性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

ACS Applied Electronic Materials Multiple-

CiteScore

7.20

自引率

4.30%

发文量

567