Combined Effects of Depression and Anxiety on Suicide:a Case-Control Psychological Autopsy Study in Rural China
Background: Most of the previous researches indicated depression and anxiety were potential risk factors for suicide,and they were also highly correlated.However,few studies have explored their combined effects on suicide and the dimensions which really work.Methods: A total of 392 suicide cases aged 15-34 years were consecutively recruited,and 416 community controls of the same age range were sampled.All the data were obtained using psychological autopsy from two informants for each of the targeted subjects.Depression and anxiety were measured by Hamilton Depression Rating Scale (HAMD) and the Spielberger”s Trait-Anxiety Inventory (STAI) respectively.Results: Scores of depression (15.53 vs 0.36) and anxiety (49.75 vs 42.05) among suicide cases were higher than those of the community controls,as well as their dimensions (All P<0.001).After controlling confounding factors,people with low depression and high anxiety,with high depression and low anxiety,with high depression and high anxiety were at 2.46,26.32,54.77 times more risk for suicide (all P<0.05),compared with subjects with low depression and low anxiety.Only two of seven dimensions of depression (including cognitive disturbance,helplessness,excluding anxiety dimension) and one of two dimensions of STAI anxiety (anxiety dimension,not depression dimension) were included in the regression model as risk factors for suicide (all OR>1).Conclusions: For suicide risk assessment,combined effects of depression and anxiety should not be ignored.Meanwhile,the effects of anxiety dimension of depression and depression dimension of anxiety must be cautiously evaluated,avoiding overlapping inclusion.
depression anxiety suicide Case-Control Studies China
Jie Zhang Xinxia Liu Le Fang
School of Public Health and Center for Suicide Prevention Research, Shandong University, China Depar College of Humanities and Law, Northeast Agricultural University, China Department of Non-communicable Diseases Control and Prevention, Zhejiang Provincial Center for Disea
国内会议
杭州
英文
273-280
2017-09-14（万方平台首次上网日期，不代表论文的发表时间）