TAILIEUCHUNG - Báo cáo y học: "Suicidality and depression among adult patients admitted in general medical facilities in Kenya"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học General Psychiatry cung cấp cho các bạn kiến thức về ngành y đề tài: Suicidality and depression among adult patients admitted in general medical facilities in Kenya. | Ndetei et al. Annals of General Psychiatry 2010 9 7 http content 9 1 7 ANNALS OF GENERAL PSYCHIATRY PRIMARY RESEARCH Open Access Suicidality and depression among adult patients admitted in general medical facilities in Kenya David M Ndetei 1 2 Lincoln I Khasakhala1 2 Victoria Mutiso1 and Anne W Mbwayo1 Abstract Aim To document Beck Depression Inventory BDI II suicidal symptoms among patients admitted to Kenyan nonpsychiatric general medical facilities Methods All consenting adults admitted within a period of 4 weeks at 10 general medical facilities in Kenya were interviewed for suicidal symptoms and depression using the BDI-II. Results In all 2 780 patients responded to item 9 suicidal symptoms of the BDI-II . The prevalence of all BDI-II suicidal symptoms combined was . Thoughts of killing oneself but have not carried them out accounted for 9 of the suicidal symptoms. The younger age group had the highest prevalence of suicidal symptoms and the oldest age group had the least prevalence of suicidal symptoms. The more depressed the patients were on the overall BDI-II score the higher the prevalence of suicidal symptoms. Conclusion On average 1 out of 10 of the patients had suicidal symptoms more so in younger than the older people and in the more depressed. These symptoms had not been clinically recognised and therefore not managed. This calls for clinical practice that routinely enquires for suicidal symptoms in general medical wards. Background Depression is the leading mental disorder associated with suicide 1 especially if there is hopelessness and comor-bid acute psychosocial stressors 2 . Physical conditions and depression are often comorbid 3 4 Undiagnosed depression has been shown to be highly prevalent in Kenyan general medical facilities 4 . Over 25 years ago Mengech and Dhadphale 5 found a attempted suicide rate amongst patients referred from Kenyatta National General Medical facilities to a psychiatric clinic .

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