患有囤积症的成年人的自杀想法和行为。

IF 4.3 2区医学 Q1 PSYCHIATRY

Comprehensive psychiatry Pub Date : 2024-10-18 DOI:10.1016/j.comppsych.2024.152539

Dariana Gil-Hernández , Elizabeth McCarthy , Tatevik Avanesyan , Pavithra Mukunda , Marcos Ortiz , Randy O. Frost , Peter J. van Roessel , Michele S. Berk , Carolyn I. Rodriguez

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引用次数: 0

摘要

背景：囤积症（HD）的特征是难以丢弃财物和杂物，从而影响日常功能。以往的研究表明，囤积行为与自杀想法和行为之间存在高度相关性；然而，关于符合《精神疾病诊断与统计手册》第五版（DSM-5）HD 标准的患者自杀想法和行为的研究却十分有限。本研究旨在报告我们对 HD 样本中自杀想法和行为的调查结果：我们使用了符合 DSM-5 HD 标准的参与者（n = 99）的现有数据。我们使用结构化工具--哥伦比亚自杀严重程度评定量表（C-SSRS）收集有关自杀想法和行为的数据：结果：在 99 名参与者中，分别有 49.5% 和 26.3% 的人有被动和主动自杀意念 (SI)。在有主动自杀意念的参与者中，有 11 人表示在最严重的自杀意念中曾想过用药过量。13名参与者表示在其一生中至少尝试过一次自杀：据我们所知，这是第一项使用结构化评估 C-SSRS 研究 HD 患者自杀想法和行为的研究。在这组 HD 数据中，参与者报告自杀想法和行为的比例高于美国普通人群：我们的研究强调了筛查 HD 患者自杀想法和行为的重要性。

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Suicidal thoughts and behaviors in adults with hoarding disorder

Background

Hoarding disorder (HD) is characterized by difficulty discarding possessions and clutter that impairs daily functioning. Previous research has demonstrated a high correlation between hoarding behaviors and suicidal thoughts and behaviors; however, there is limited research on suicidal thoughts and behaviors in individuals meeting Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) criteria for HD. Our aim in this study was to report our findings about suicidal thoughts and behaviors in a HD sample.

Methods

We used existing data from participants meeting DSM-5 criteria for HD (n = 99). Data about suicidal thoughts and behaviors was collected using a structured instrument, the Columbia-Suicide Severity Rating Scale (C-SSRS).

Results

Among the 99 participants, 49.5 % and 26.3 % had passive and active suicidal ideation (SI), respectively. Of those with active ideation, 11 participants endorsed thinking about overdose during their most severe SI. 13 participants reported attempting suicide at least once in their lifetime.

Conclusions

To our knowledge, this is the first study examining suicidal thoughts and behaviors in HD using the structured assessment C-SSRS. In this HD data set, participants reported suicidal thoughts and behaviors at higher rates than the general U.S. population. Our study highlights the importance of screening for suicidal thoughts and behaviors in individuals with HD.

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来源期刊

Comprehensive psychiatry 医学-精神病学

CiteScore

12.50

自引率

1.40%

发文量

审稿时长

29 days

期刊介绍： "Comprehensive Psychiatry" is an open access, peer-reviewed journal dedicated to the field of psychiatry and mental health. Its primary mission is to share the latest advancements in knowledge to enhance patient care and deepen the understanding of mental illnesses. The journal is supported by a diverse team of international editors and peer reviewers, ensuring the publication of high-quality research with a strong focus on clinical relevance and the implications for psychopathology. "Comprehensive Psychiatry" encourages authors to present their research in an accessible manner, facilitating engagement with clinicians, policymakers, and the broader public. By embracing an open access policy, the journal aims to maximize the global impact of its content, making it readily available to a wide audience and fostering scientific collaboration and public awareness beyond the traditional academic community. This approach is designed to promote a more inclusive and informed dialogue on mental health, contributing to the overall progress in the field.