ĐẶC ĐIỂM LÂM SÀNG HÀNH VI TỰ SÁT Ở BỆNH NHÂN RỐI LOẠN CẢM XÚC LƯỠNG CỰC

Abstract

Background: Bipolar affective disorder is an endogenous, chronic disease. Even with treatment, about 37% of patients relapse into depression or mania within 1 year and 60% relapse within 2 years, was one of the top ten leading causes of disability worldwide in 1990. There have been many studies on suicide and suicide in patients with depression worldwide, but not many studies on suicide in the world. bipolar affective disorder. Therefore, in order to serve clinical practice and early detection for timely treatment, thereby helping to reduce the burden of care, we conducted the study "Clinical characteristics of suicidal behavior in patients with affective disorder". bipolar” with the objective: To describe the clinical characteristics of suicide in patients with bipolar affective disorder. Subjects and methods: Cross-sectional study of 39 patients with bipolar affective disorder who committed suicide in 102 patients diagnosed with bipolar disorder treated at Hanoi Psychiatric Hospital, Psychiatric Hospital. My Duc, National Institute of Mental Health from December 2020 to August 2021. Results: 38.223% of patients committed suicide, of which male patients accounted for 64.1%, female patients accounted for 35.9%. In the suicide group, unemployed patients accounted for 69.23%, the rate of family history of mental illness was 15.38%, the mean age was 41.97 ± 13.31, the mean duration of illness was 12. ,31 ± 9.14, mean age of onset 29.67 ± 11.23, manic episode accounted for 84.62%, 100% untreated or irregularly treated, patients with suicidal ideation stage mania accounted for 84.62%, depression accounted for 15.38%, 48.72% had suicidal ideation day and night, 7.69% appeared at night, average Miller scale of patient group suicidal ideation was 18.26 ± 9.514.