Analysis of Depression and Suicide Risk in Hospitalized Patients with Rheumatic Immune Diseases

Weiwei DAI; Weiwei FENG; Defu LI; Shan LIN; Wei QIN

doi:10.12259/j.issn.2095-610X.S20220302

Volume 43 Issue 3

Mar. 2022

Turn off MathJax

Article Contents

Article Navigation > Journal of Kunming Medical University > 2022 > 43(3): 160-165

Weiwei DAI, Weiwei FENG, Defu LI, Shan LIN, Wei QIN. Analysis of Depression and Suicide Risk in Hospitalized Patients with Rheumatic Immune Diseases[J]. Journal of Kunming Medical University, 2022, 43(3): 160-165. doi: 10.12259/j.issn.2095-610X.S20220302

Citation:

Weiwei DAI, Weiwei FENG, Defu LI, Shan LIN, Wei QIN. Analysis of Depression and Suicide Risk in Hospitalized Patients with Rheumatic Immune Diseases[J]. Journal of Kunming Medical University, 2022, 43(3): 160-165. doi: 10.12259/j.issn.2095-610X.S20220302

Citation:

PDF( 639 KB)

Analysis of Depression and Suicide Risk in Hospitalized Patients with Rheumatic Immune Diseases

doi: 10.12259/j.issn.2095-610X.S20220302

Weiwei DAI¹,
Weiwei FENG²,
Defu LI¹,
Shan LIN^{1
,
,},
Wei QIN^{2
,
,}

1.
Dept. of Intrarenal Rheumatology，Shanghai TCM-integrated Hospital，Shanghai University of TCM，ShangHai 200082
2.
Dept. of Rheumatology and Immunology，The Fist Affiliated Hospital of WMU，Wenzhou Zhejiang 325000，China

Received Date: 2022-01-16
Available Online: 2022-02-18
Publish Date: 2022-03-22

Abstract

Abstract

Objective To investigate the mental status of the patients in rheumatic immunology department, and evaluate the risk of depression and suicide, so as to identify the patients with depression and high risk of suicide, ensure the safety of the patients. Methods Patients in the Department of Rheumatology of the First Affiliated Hospital of the Wenzhou Medical University from October 2018 to September 2019 were included in the study. All the patients were investigated with the health questionnaire depression symptom cluster scale （PHQ-9） at the time of admission, the depression status and suicide risk were assessed. Results Data of 861 patients were collected. The prevalence of mood disorder, moderate depression and suicide risk were 24.62% , 7.43% and 3.72% respectively. The rate of suicide risk was 2.56% in patients with systemic lupus erythematosus （SLE）, ankylosing spondylitis （AS）, sjogren’ s syndrome （SS）, rheumatoid arthritis （RA） and metabolic arthritis （MA）, and the rate of moderate to severe depression was 3.13%. The incidence of depression in patients with different diseases was significantly different （χ² = 27.734, P < 0.0001）. Fish analysis showed that there was significant difference in the proportion of patients with moderate depression or above （χ² = 13.187, P < 0.05） . The prevalence of depression was significantly higher in SLE patients than in the other four groups, and the rates of moderate to severe depression and suicide were also higher than in the other groups. Conclusions The prevalence of depression and suicide risk is high in patients with rheumatic diseases, and the incidence of depression is positively correlated with the PHQ-9 score. The application of simple mental state screening by PHQ-9 score bank on admission of nursing staff is helpful to carry out nursing path intervention by grading and classification, might reduce the incidence of patient suicide and medical disputes.
- Depression symptom cluster scale （phq-9）,
- Rheumatic immune disease,
- Suicide risk,
- Nursing pathway intervention

FullText(HTML)

References(14)

References

[1]	何开周,周冰,谢晓炜,等. 风湿免疫性疾病患者心理健康状况与生活质量的相关性研究[J]. 中国医师杂志,2020,22(6):909-913. doi: 10.3760/cma.j.cn431274-20190126-00085
[2]	刘齐,唐美香,刘桂瑛. 风湿免疫病病人疾病不确定感与自我效能的相关性研究[J]. 护理研究,2018,32(1):72-75. doi: 10.3969/j.issn.1009-6493.2018.01.019
[3]	吴叶荣,张海云,王晓兰. 系统性红斑狼疮患者疾病不确定感与生活质量的相关分析[J]. 护理管理杂志,2013,13(1):15-16. doi: 10.3969/j.issn.1671-315X.2013.01.007
[4]	Mark A Oldham,Paul H Desan,Hochang B Lee. Proactive consultation-liaison psychiatry:American psychiatric association resource document[J]. J Acad Consult Liaison Psychiatry,2021,62(2):169-185.
[5]	Moitra M,Santomauro D,Degenhardt L,et al. Estimating the risk of suicide associated with mental disorders:A systematic review and meta-regression analysis[J]. Journal of Psychiatric Research,2021,137:242-249. doi: 10.1016/j.jpsychires.2021.02.053
[6]	Boockvar K,Vladeck B C,Boult C,et al. Improving the quality of transitional care for persons with complex care needs[J]. J Am Geriatr Soc,2016,51(4):556-557.
[7]	Chesney E,Goodwin G M,Fazel S. Risks of all-cause and suicide mortality in mental disorders:a meta-review[J]. World Psychiatry,2014,13(2):153-160. doi: 10.1002/wps.20128
[8]	Tong Y,Phillips M R. Cohort-specific risk of suicide for different mental disorders in China[J]. Br J Psychiatry,2010,196(6):467-473. doi: 10.1192/bjp.bp.109.070409
[9]	Tong Y,Phillips M R,Conner K R. DSM-IV Axis II personality disorders and suicide and attempted suicide in China[J]. Br J Psychiatry,2016,209(4):319-326. doi: 10.1192/bjp.bp.114.151076
[10]	张小丽. 类风湿关节炎患者关节功能自我锻炼依从性的影响因素分析[J]. 护理实践与研究,2021,18(2):191-194.
[11]	Manea L,Gilbody S,McMillan D. A diagnostic meta-analysis of the Patient Health Questionnaire-9(PHQ-9) algorithm scoring method as a screen for depression[J]. Gen Hosp Psychiatry,2015,37(1):67-75. doi: 10.1016/j.genhosppsych.2014.09.009
[12]	李芳菲,叶静华,何志翔,等. PHQ-9,PHQ-15和HAMD-17在类风湿关节炎患者中评估抑郁障碍的相关性[J]. 解剖学研究,2020,4(21):76-80.
[13]	谢玲,饶慧燕,欧阳莉,等. 医院焦虑抑郁量表在综合医院内科住院患者中的应用研究[J]. 当代医学,2016,22(35):20-22. doi: 10.3969/j.issn.1009-4393.2016.35.010
[14]	张云. 中西医结合护理对系统性红斑狼疮病人心理状态及生活质量的影响[J]. 全科护理,2021,19(1):4.

Relative Articles(20)

Relative Articles

[1]	Yihan LIU, Jun LIU, Yongmei JIN, Bo TIAN, Jinsong BAI. Risk Assessment and Analysis of Risk Factors for Cardiovascular Disease in HIV Antiviral Therapy Patients. Journal of Kunming Medical University, 2024, 45(10): 140-146. doi: 10.12259/j.issn.2095-610X.S20241022
[2]	Yaling YANG, Xiaoju LI, Yafang ZHANG, Xinping WANG, Yuan HUANG, Weiqing SHAO, Rui DENG. Depression Symptoms and Influencing Factors among Youth in Eight Indigenous Minority Groups in Yunnan Province. Journal of Kunming Medical University, 2023, 44(10): 100-106. doi: 10.12259/j.issn.2095-610X.S20231011
[3]	Qiang WANG, Dexing YANG, Weiyu ZHOU, Jiefu TANG, Kai FU, Zhenfang WANG, Shengzhe LIU, Min LI, Ying LUAN, Rong LIU. Analysis of Prognostic Risk Factors in Patients with Septic Shock Based on Circulatory and Cellular Immune Response Indicators. Journal of Kunming Medical University, 2023, 44(7): 78-87. doi: 10.12259/j.issn.2095-610X.S20230716
[4]	Deng'ai DUAN, Yonghui ZHANG, Wei WANG, Xinju LIAO, Zhixiong ZHANG. Effect of Childhood Abuse on Non-suicidal Self-injury in Adolescents with First-episode Depression. Journal of Kunming Medical University, 2023, 44(3): 120-124. doi: 10.12259/j.issn.2095-610X.S20230304
[5]	Jiang WU, Shuifen DAI, Qin LIU, Shoutao YANG, Jiang ZHANG, Jiao YANG, Qiongyao GUAN. Effect of Nutrition Clinical Nursing Pathway for Nasopharyngeal Carcinoma Patients Concurrent Radiotherapy and Chemotherapy. Journal of Kunming Medical University, 2023, 44(5): 185-190. doi: 10.12259/j.issn.2095-610X.S20230510
[6]	Zhaosong CHU, Xin WANG, Mengxin HE, Xiufeng XU, Na WANG, Zonglin SHEN. Research Progress on Gene Related to Suicide in Major Depressive Disorder：A Review. Journal of Kunming Medical University, 2023, 44(3): 143-148. doi: 10.12259/j.issn.2095-610X.S20230301
[7]	Li XU, Jinghan ZHAO, Yuxiong JIN, Huizuo FU, Jing YUAN, Xin WANG, Jianzhong YANG. Studies on the Related Factors of Non-suicidal Self-injury in Adolescent Patients with Depression. Journal of Kunming Medical University, 2022, 43(5): 58-64. doi: 10.12259/j.issn.2095-610X.S20220529
[8]	Jiang Yan , Mi Hong Ying , Shi Xu Li , Yang Jing Hui , Yang Yong Mei , Tian Yun Fen . . Journal of Kunming Medical University, 2020, 41(06): 120-126.
[9]	Chen Jing , Fang Hong Li . . Journal of Kunming Medical University, 2020, 41(05): 174-178.
[10]	He-ping LIU, Hong-mei WU, Yang LIU, Chun ZHANG, Wei-zhou WANG, Ding-yun YOU, Hong-xiang WU. Correlation between Anxiety Depression Symptoms of Patients with Chronic Obstructive Pulmonary Disease and CAT Score. Journal of Kunming Medical University, 2020, 41(12): 29-35. doi: 10.12259/j.issn.2095-610X.S20201212
[11]	Tai Xiao Li , Zhou Xiao Li , Zhou Wei Hua . The Effects of Clinical Pathway of Nursing on Pulmonary Function Index and Complications in Patients with COPD. Journal of Kunming Medical University, 2018, 39(02): 138-142.
[12]	Zhou Qing Zhu , Zhao Xian , Wei Wei , Dai Xiao Ming . The Application and Effect of the Clinical Nursing Pathway in the Autologous Hair Transplantation. Journal of Kunming Medical University, 2018, 39(01): 144-148.
[13]	Tan Hong . Effect of Health Education and Psychological Nursing Intervention on the Patients with Postpartum Depression. Journal of Kunming Medical University,
[14]	Bao Wen Li . . Journal of Kunming Medical University,
[15]	Zhang Qiong Yu . . Journal of Kunming Medical University,
[16]	Wang Hong . . Journal of Kunming Medical University,
[17]	Ni Zhong Mei . . Journal of Kunming Medical University,
[18]	Wang Hong . . Journal of Kunming Medical University,
[19]	Lou Qing Mei . . Journal of Kunming Medical University,
[20]	Zhang Ren Fa . . Journal of Kunming Medical University,