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- 저자 : 전병조(Byung-Jo Chun) (검색결과 1 건)
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나미수(Mi-Su Na),김주완(Ju-Wan Kim),강희주(Hee-Ju Kang),이주연(Ju-Yeon Lee),김성완(Sung-Wan Kim),신일선(Il-Seon Shin),전병조(Byung-Jo Chun),김재민(Jae-Min Kim) 대한생물치료정신의학회 2021 생물치료정신의학 Vol.27 No.3
Objectives:This study investigated factors related to increased suicidal severity and fatal/nonfatal suicide attempt in depressive patients receiving pharmacotherapy. Methods:This study included 1246 participants who received one year pharmacological treatment for depressive disorders. Socio-demographic and clinical variables were collected. The following scales were used : Brief Psychiatric Rating Scale (BPRS), Hospital Anxiety and Depression Scale (HADS), EuroQol-5D (EQ-5D), Social and Occupational Functional Assessment Scale (SOFAS), Life Experiences Survey (LES), Perceived Stress Scale (PSS), Korean version of Connor-Davidson Resilience Scale (K-CD-RISC), Multidimensional Scale of Perceived Social Support (MSPSS) and Alcohol Use Disorder Identification Test (AUDIT). Up to one year follow-up period, suicidality which are increased suicidal severity and fatal/nonfatal suicide attempt were followed. Logistic regression analyses were used to identify predictors for increased suicidal severity and fatal/nonfatal suicide attempt. Results:Of the 1,246 participants, 222(18%) reported increased suicidal severity and 45(3.6%) showed fatal/non-fatal suicide attempt. Increased suicidal severity were more independently associated with unemployment (OR=1.49, p=0.01), increased treatment step (OR=1.26, p<0.01), and fatal/non-fatal suicide attempt were independently associated with number of depressive episodes (OR=1.24, p=0.01), HADS-D (OR=1.11, p=0.02), AUDIT-K (OR=1.03, p= 0.03), increased treatment step (OR=1.24, p=0.02). Conclusions:Not only social and economic support system but also depression treatment might aid suicide prevention. The results of this study are expected to be useful in considering risk factors related to suicide prevention in outpatient care in the future.
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