CÁC YẾU TỐ LIÊN QUAN ĐẾN TRIỆU CHỨNG Ý TƯỞNG VÀ HÀNH VI TỰ SÁT Ở BỆNH NHÂN RỐI LOẠN TRẦM CẢM TÁI DIỄN

Abstract

Background: Depression is an important health problem at the global level. Among suicide cases, about 90% of individuals suffer from mental disorders and up to 40-70% suffer from depression. Research on factors related to suicide in depression in general and recurrent depression in particular helps predict the appearance of suicidal ideation and behavior symptoms, improving the treatment effectiveness of patients. Objectives: To evaluate the rate and factors related to suicidal ideation and behavior symptoms among patients with recurrent depressive disorder. Materials and methods: The study used a cross-sectional descriptive method with 96 patients at the Institute of Mental Health - Bach Mai Hospital from January 2020 to December 2020 who met the diagnostic criteria for recurrent depressive disorder of ICD-10. Subjects will be interviewed and evaluated by researchers based on their medical records, psychological tests, and blood cortisol tests at 8:00 a.m. and 8:00 p.m. Results: The study had 96 patients suitable for inclusion in the study. The rate of patients with suicidal ideation and behavior symptoms was 42.71%. Through the survey of all 26 related factors, 5 statistically significant related factors were found to be associated with suicide in patients with recurrent depression: severity of depression, residual symptoms, high scores on the BECK, DASS-D, and DASS-S psychological test scales. Conclusion: Good resolution of residual symptoms, patients' ability to recognize and cope well with stress, early detection and treatment of each depressive relapse phase are appropriate measures to reduce the suicide rate in patients with clinically recurrent depression.