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

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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

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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

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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

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