주요우울장애 환자의 자살시도와 임상평가 척도 결과의 차이
Discrepancies between Suicide Attempt and the Result of Clinical Rating Scales in Patients with Major Depressive Disorder
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Objectives：The aim of this study was to examine a usefulness of the Beck Scale for Suicidal Ideation(BSI) and the Beck Hopelessness Scale(BHS) to assess the risk of current suicide attempt in patients with major depressive disorder. Methods：Eighty-seven patients with major depressive disorder were participated in this study. All patients were recruited from the psychiatric outpatient clinic or inpatient ward of Dong-A university hospital. We categorized the participants into three groups according to their history of suicide attempts : current suicide attempters, past suicide attempters, non-attempters. The suicide idea and hopelessness of the participants were assessed by the BSI and the BHS, respectively. Also, severity of depression in all subjects was assessed by the Hamilton Rating Scale for Depression(HAM-D). Results：The sum scores of the BSI and the BHS were significantly higher in current suicide attempters and past suicide attempters than non-attempters. However, those were not significantly different between current suicide attempters and past suicide attempters. And the sum score of the HAM-D was significantly higher in current suicide attempters than other two groups. But, it was not significantly different between past suicide attempters and non-attempters. Conclusion：The results of present study suggest that the BSI and the BHS may have limited ability to identify current suicide risk in patients with major depressive disorder. In clinical practice, it is necessary to assess the clinician rating scale such as the HAM-D for evaluating the risk of current suicide attempt.
Abstract
Objectives：The aim of this study was to examine a usefulness of the Beck Scale for Suicidal Ideation(BSI) and the Beck Hopelessness Scale(BHS) to assess the risk of current suicide attempt in patients with major depressive disorder. Methods：Eighty-seven patients with major depressive disorder were participated in this study. All patients were recruited from the psychiatric outpatient clinic or inpatient ward of Dong-A university hospital. We categorized the participants into three groups according to their history of suicide attempts : current suicide attempters, past suicide attempters, non-attempters. The suicide idea and hopelessness of the participants were assessed by the BSI and the BHS, respectively. Also, severity of depression in all subjects was assessed by the Hamilton Rating Scale for Depression(HAM-D). Results：The sum scores of the BSI and the BHS were significantly higher in current suicide attempters and past suicide attempters than non-attempters. However, those were not significantly different between current suicide attempters and past suicide attempters. And the sum score of the HAM-D was significantly higher in current suicide attempters than other two groups. But, it was not significantly different between past suicide attempters and non-attempters. Conclusion：The results of present study suggest that the BSI and the BHS may have limited ability to identify current suicide risk in patients with major depressive disorder. In clinical practice, it is necessary to assess the clinician rating scale such as the HAM-D for evaluating the risk of current suicide attempt.
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