自殺行為探討：以BSRS短量表的五年期調查

Investigation of Suicidal Behavior: Study on 5-Year Data Obtained Using the Brief Symptom Rating Scale

10.6142/VGHN.202009_37(3).0007

陳芬芳(Fen-Fan Chen)；周煌智(Frank Huang-Chih Chou)；許建彬(Chien-Bin Hsu)；黃良志(Liang-Chih Huang)

高自殺風險 ； 自殺行為 ； BSRS ； 羅吉斯迴歸 ； high risk of suicide ； suicidal behavior ； brief symptoms rating scale ； logistic regression

榮總護理

37卷3期（2020 / 09 / 01）

279 - 289

繁體中文

在台灣每年大約有3700人自殺死亡。本研究主要運用五年期資料對自殺行為者特徵進行分析，以及驗證BSRS-5的適用性。本研究從高雄地區自殺防治中心獲得2011至2015年間自殺個案資料，計18,212例，再排除未填答BSRS-5問卷者，餘10,108例進行分析。除運用二因子變異數分析，並透過羅吉斯迴歸檢驗對自殺行為的預測。對初次自殺者而言，個人背景特徵與BSRS-5的測量結果都有顯著關聯。但是，對再自殺行為者，個人背景特徵則轉變為不顯著，BSRS-5仍維持顯著關聯，而且，BSRS-5對自殺行為的預測勝算也隨之提高。BSRS-5對於第一次或重複的自殺行為都能有效地預測。然而，個人背景如：性別、年齡、就業狀況、精神病史等，都僅對第一次自殺行為具有關聯，對重複自殺行為者，則關聯性並不顯著。因此，本研究建議BSRS-5可用於自殺傾向的評估，並廣泛推廣使用。並建議後續研究者能採用多年期、多區域資料進行研究。

In Taiwan, approximately 3,700 people commit suicide every year. In this study, 5-year data were used to analyze the characteristics of suicidal behaviors and verify the applicability of the 5-item Brief Symptom Rating Scale (BSRS-5). Data of 18,212 suicide cases between 2011 and 2015 were obtained from the Suicide Prevention and Treatment Center located in southern Taiwan. A total of 10,108 cases were analyzed after excluding individuals who could not complete the BSRS- 5 questionnaire. In addition, we used two-way ANOVA and logistic regression to predict suicidal behavior. A significant correlation between background characteristics and BSRS-5 score was discovered in the people who had attempted suicide for the first time. For those who repeatedly attempted suicide, the effect of personal background characteristics became nonsignificant; however, the correlation with BSRS-5 score remained significant. Additionally, the probability of predicting suicidal behavior was found to increase with the BSRS-5 score. The BSRS-5 was effective in predicting both the first and repeated suicidal behaviors. However, the personal background data including data for sex, age, employment status, and psychiatric history were significantly correlated with only the first suicidal behavior; the correlations were nonsignificant for repeated suicidal behavior. Overall, the BSRS-5 can thus be used to predict suicidal tendency and should be widely used. In the future, research should be conducted in multiple areas and data from a longer time period should be analyzed.

1. 廖士程,李明濱,龍佛衛,張家銘,吳佳儀(2015)。台灣自殺防治十年回顧檢討與展望。台灣公共衛生雜誌，34(3)，227-239。
   連結：
2. 蘇碧玉,戴月明,周漢威,高玉玲(2015)。生活品質與自殺相關性之研究：以台灣新兵族群為例。健康科技期刊，3(1)，17-35。
   連結：
3. Chang, M. C.,Chen, P. F.,Lung F.W.(2012).Anxiety in predicting suicide-related symptom of typhoon disaster victims: A one-year follow-up study in southern Taiwan.Psychiatric Quarterly,83(4),481-487.
4. Chen, W. J.,Chen, C. C.,Ho, C. K.,Lee, M. B.,Chung, Y. T.,Wang, Y. C.,Chou, F. H. C.(2009).The suitability of the BSRS ‐ 5 for assessing elderly who have attempted suicide and need to be referred for professional mental health consultation in a metropolitan city, Taiwan.International Journal of Geriatric Psychiatry,24(10),1151-1157.
5. Dervic, K.,Brent, D. A.,Oquendo, M. A.(2008).Completed suicide in childhood.Psychiatric Clinics of North America,31(2),271-291.
6. Huang, S. F.,Lu, C. H.,Ju, C. L.,Lan, J. T.,Chang, C. W.,Chang, C. L.,Horng, C. T.(2015).The benefit of clinical psychologists in prevention from the suicide in one hospital in Taiwan, Republic of China.Life Science Journal,12(3),138-145.
7. Kalmár, S.(2015).Most important deficits, contradictions and possibilities in suicide prevention in Hungary.Neuropsychopharmacologia Hungarica,17(1),37-46.
8. Lee, M. B.,Liao, S. C.,Lee, Y. J.,Wu, C. H.,Tseng, M. C.,Gau, S. F.,Rau, C. L.(2003).Development and verification of validity and reliability of a short screening instrument to identify psychiatric morbidity.Journal of the Formosan Medical Association,102(10),687-694.
9. Liu, I. C.,Chiu, C. H.(2009).Case-control study of suicide attempts in the elderly.International Psychogeriatrics,21(05),896.
10. Lu, I. C.,Jean, M. C. Y.,Lei, S. M.,Cheng, H. H.,Wang, J. D.(2011).BSRS-5 (5-item brief symptom rating scale) scores affect every aspect of quality of life measured by WHOQOL-BREF in healthy workers.Quality of Life Research,20(9),1469-1475.
11. Pandey, G. N.(2015).Cytokines as suicide risk biomarkers.Biological Psychiatry,78(1),5-6.
12. Robins, E.,Murphy, G. E.,Wilkinson, R. H.,Gassner, S.,Kayes, J.(1959).Some clinical considerations in the prevention of suicide based on a study of 134 successful suicides.American Journal of Public Health and the Nations Health,49(7),888-899.
13. Turecki, G.,Brent, D. A.,Gunnell, D.,O’Connor, R. C,Oquendo, M. A.,Pirkis, J.,Stanley, B. H.(2019).Suicide and suicide risk.Nature Reviews Disease Primers,5(1),1-22.
14. World Health Organization(2019).Suicide in the world: Global health estimates.WHO World Health Organization.
15. Wu, C. Y.,Lee, J. I.,Lee, M. B.,Liao, S. C.,Chang, C. M.,Chen, H. C.,Lung, F. W.(2016).Predictive validity of a five-item symptom checklist to screen psychiatric morbidity and suicide ideation in general population and psychiatric settings.Journal of the Formosan Medical Association,115(6),395-403.
16. 乃欣(2014)。何必輕言自殺。諮商與輔導，346，17-18。
17. 吳佳儀(2014)。自殺篩檢工具之效果：掌握先機防治自殺，活化網絡挽就生命。自殺防治網通訊，9(3)，4-7。
18. 李明濱,廖士程,張家銘,宋思潔(2010)。善用心情溫度計 (BSRS-5) 預測社區民眾的自殺意念。自殺防治網通訊，5(1)，3-4。
19. 李政洋,陳紅汶,李玉嬋,唐婉如,方俊凱(2011)。癌症照顧的自殺防治。內科學誌，22(5)，335-343。
20. 邱震寰,郭千哲,陳映燁,陳喬琪,李明濱,林俊宏,林純綺(2006)。初次自殺企圖者與重複自殺企圖者流行病學特徵之比較。北市醫學雜誌，3(10)，1000-1007。
21. 陳宜明,李明濱,林帛賢,廖士程(2013)。蓄意自傷行為之評估與處理 ‧ 台灣醫學。台灣醫學，17(3)，309-316。
22. 陳楚杰,葉瑞垣,李中一,陳靖宜,洪湘雯(2010)。台灣地區自殺身亡率及其相關因素之研究：1997-2003。台灣公共衛生雜誌，29(3)，201-215。
23. 衛生福利部統計處（2019）‧1995-2018 年歷年死因統計 ‧ 取自：衛生福利部統計處網站：https://dep.mohw.gov.tw/DOS/np-1714-113.html
24. 鄧喬鳳,陳芬芳,沈光漢(2013)。簡式心理健康量表運用於肺結核病人自殺防治評估。醫療品質雜誌，7(3)，70-73。

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