Xu Haiting,Liu Yanran,Lyu Jing,Liu Danni,Zhang Yalan,Li Ziyu,Lu Yingzhu,Chen Jingxu,Association between suicide risk and cognitive emotion regulation strategies in untreated depressive disorder patients[J].SICHUAN MENTAL HEALTH,2020,33(1):44-48 |
Association between suicide risk and cognitive emotion regulation strategies in untreated depressive disorder patients |
DOI:10.11886/scjsws20191209002 |
English keywords:Depressive disorder Suicide risk Cognitive emotion regulation strategy |
Fund projects:首都卫生发展科研专项(项目名称:双相障碍自我管理评估量表的开发及其效果评价,项目编号:2018-3-2132) |
Author Name | Affiliation | Postcode | Xu Haiting | Beijing Huilongguan Hospital, Beijing 100096, China | 100096 | Liu Yanran | Beijing Huilongguan Hospital, Beijing 100096, China | 100096 | Lyu Jing | Beijing Huilongguan Hospital, Beijing 100096, China | 100096 | Liu Danni | Beijing Huilongguan Hospital, Beijing 100096, China | 100096 | Zhang Yalan | Beijing Huilongguan Hospital, Beijing 100096, China | 100096 | Li Ziyu | Beijing Huilongguan Hospital, Beijing 100096, China | 100096 | Lu Yingzhu | Beijing Huilongguan Hospital, Beijing 100096, China | 100096 | Chen Jingxu | Beijing Huilongguan Hospital, Beijing 100096, China | 100096 |
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Objective To explore the characteristics of cognitive emotion regulation strategies and influencing factors of cognitive emotion regulation strategies among depressive disorder patients at risk of suicide, so as to provide basis for the targeted intervention at early stages. Methods A total of 117 outpatients with untreated depressive disorder from Beijing Huilongguan Hospital who met the diagnostic criteria for depression disorder in Chinese version of Mini International Neuropsychiatric Interview 5.0 (MINI 5.0) were enrolled. According to the suicidality module of MINI 5.0, patients were divided into the suicide risk group (n=52) and non-suicide risk group (n=65). Them the Cognitive Emotion Regulation Questionnaire-Chinese Version (CERQ-C) and Hamilton Depression Scale-17 item (HAMD-17) were used to evaluate the cognitive emotion regulation strategy and the severity of depressive symptoms. Results The suicide risk in patients with depressive disorder was 44.4% (52/117). Compared with non-suicide risk group, patients in the suicide risk group were mostly female, unmarried, with earlier onset age, lower average age, higher HAMD-17 score, and higher complication rate of psychotic features. Moreover, the scores of self-blame, acceptance, rumination, catastrophization and negative cognitive emotion regulation strategies were also higher in suicide risk group (P<0.05). Logistic regression analysis showed that female (OR=3.539, 95% CI: 1.383~9.057), onset age (OR=0.931, 95% CI: 0.895~0.968), HAMD-17 scores (OR=1.207, 95% CI: 1.063~1.370) and catastrophization (OR=1.143, 95% CI: 1.002~1.305) were associated with suicide risk in patients with depressive disorder (P<0.05). Conclusion Female, early onset, severity of depressive symptoms and catastrophization may be the main risk factors for suicide risk in untreated patients with depressive disorder. |
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