新型冠状病毒肺炎患者自杀风险、睡眠、心理状况及影响因素
摘要
Objective To evaluate suicide risk, sleep quality and psychological status of patients with coronavirus disease 2019 (COVID-19) and analyze the factors contributing to a high suicide risk in these patients. Methods This study was conducted in a cohort of 376 COVID-19 patients (including 95 male and 281 female patients) hospitalized between January 2 and March 10, 2020, with 501 subjects without COVID-19 (including 110 men and 391 women) recruited from different social media platforms as the control group. All the subjects were evaluated by online or face-to-face interview with either self-administered rating or assessment of psychiatrists using the Nurses' Global Assessment of Suicide Risk scale (NGASR), Pittsburgh Sleep Quality Index (PSQI), Self-rating Anxiety Scale (SAS), and Self-rating Depression Scale (SDS). The patients' age, the total score of suicide risk, total scores of PSQI, SAS, and SDS, and the factor scores of PSQI were compared between the case group and the control group. Chi-square test was used to compare gender distribution, history of physical illness, residence, suicide risks, sleep problems, anxiety, and depression between the 2 groups. Correlation analysis was performed for the patients' age, total score of suicide risk, total scores of SAS, SDS, PSQI and factor score of PSQI in the case group. Stepwise multiple linear regression analysis was used to identify the risk factors associated with suicide risk in the patients with the total score of suicide risk as the dependent variable and gender, age, physical disease history, total scores of SDS, SAS and PSQI, and the factor score of PSQI as the independent variables. Results ① In the patients with COVID-19, the incidences of a moderate or higher suicide risk, poor sleep quality, anxiety and depression were 27.39%, 63.03%, 31.91%, and 54.26%, respectively, significantly higher than those in the control group (7.98%, 33.53%, 9.18% and 21.36%, respectively; P < 0.01). The rates of high and very h