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Abstract：
UNASSIGNED: Suicidal behaviour is an established psychiatric complication of congestive cardiac failure (CCF), contributing significantly to morbidity and death by suicide. The magnitude and risk factors for suicidal behaviour among patients with CCF are yet to be unpacked, especially in developing nations such as Nigeria.
UNASSIGNED: To determine the prevalence of suicidal behaviour and the risk factors associated with suicidal behaviour, among patients with CCF in Nigeria.
UNASSIGNED: Cardiology outpatient clinic of Lagos State University Teaching Hospital, Lagos, Nigeria.
UNASSIGNED: A cross-sectional study was conducted among 98 randomly selected patients with a diagnosis of CCF. Participants were assessed with a socio-demographic and clinical factors questionnaire and Beck Scale of Suicidal Ideation. Chi-square test, t-test and logistic regression were used to analyse data.
UNASSIGNED: The prevalence of suicidal ideation and suicidal attempt among patients with CCF was 52% and 1%, respectively. No socio-demographic factor was significantly associated with suicidal ideation. Clinical factors associated with suicidal ideation were age at diagnosis (p = 0.042), aetiology of CCF (p = 0.001) and severity of CCF (p = 0.032). Only the severity of CCF (odds ratio [OR] = 20.557, p = 0.014) predicted suicidal ideation among patients with CCF.
UNASSIGNED: Suicidal behaviour constitutes a huge burden among the outpatient CCF population. The identification of clinical risk factors for suicidal ideation (age at diagnosis, aetiology and severity of CCF) further illuminates a pathway to mortality among patients with CCF.
UNASSIGNED: The findings lend a voice to the need for screening for suicidal behaviour, suicide prevention programmes, surveillance systems and government policies that support mental health for patients with CCF.
UNASSIGNED: To determine the prevalence of suicidal behaviour and the risk factors associated with suicidal behaviour, among patients with CCF in Nigeria.
UNASSIGNED: Cardiology outpatient clinic of Lagos State University Teaching Hospital, Lagos, Nigeria.
UNASSIGNED: A cross-sectional study was conducted among 98 randomly selected patients with a diagnosis of CCF. Participants were assessed with a socio-demographic and clinical factors questionnaire and Beck Scale of Suicidal Ideation. Chi-square test, t-test and logistic regression were used to analyse data.
UNASSIGNED: The prevalence of suicidal ideation and suicidal attempt among patients with CCF was 52% and 1%, respectively. No socio-demographic factor was significantly associated with suicidal ideation. Clinical factors associated with suicidal ideation were age at diagnosis (p = 0.042), aetiology of CCF (p = 0.001) and severity of CCF (p = 0.032). Only the severity of CCF (odds ratio [OR] = 20.557, p = 0.014) predicted suicidal ideation among patients with CCF.
UNASSIGNED: Suicidal behaviour constitutes a huge burden among the outpatient CCF population. The identification of clinical risk factors for suicidal ideation (age at diagnosis, aetiology and severity of CCF) further illuminates a pathway to mortality among patients with CCF.
UNASSIGNED: The findings lend a voice to the need for screening for suicidal behaviour, suicide prevention programmes, surveillance systems and government policies that support mental health for patients with CCF.
摘要：
■自杀行为是充血性心力衰竭（CCF）的既定精神并发症，对自杀的发病率和死亡有显著的贡献。CCF患者自杀行为的严重程度和危险因素尚未公布，尤其是在尼日利亚等发展中国家。
■为了确定自杀行为的患病率和与自杀行为相关的危险因素，在尼日利亚CCF患者中。
■拉各斯州立大学教学医院心内科门诊,拉各斯,尼日利亚。
■在98名随机选择的诊断为CCF的患者中进行了一项横断面研究。通过社会人口统计学和临床因素问卷和贝克自杀意念量表对参与者进行评估。卡方检验,采用t检验和logistic回归分析。
■CCF患者中自杀意念和自杀企图的发生率分别为52%和1%,分别。没有社会人口统计学因素与自杀意念显着相关。与自杀意念相关的临床因素是诊断时的年龄（p=0.042），CCF的病因（p=0.001）和CCF的严重程度（p=0.032）。只有CCF的严重程度（比值比[OR]=20.557，p=0.014）可以预测CCF患者的自杀意念。
■自杀行为在门诊CCF人群中构成了巨大的负担。确定自杀意念的临床危险因素（诊断时的年龄，CCF的病因和严重程度）进一步阐明了CCF患者死亡的途径。
■这些发现为筛查自杀行为的必要性提供了声音，自杀预防方案,支持CCF患者心理健康的监测系统和政府政策。
■为了确定自杀行为的患病率和与自杀行为相关的危险因素，在尼日利亚CCF患者中。
■拉各斯州立大学教学医院心内科门诊,拉各斯,尼日利亚。
■在98名随机选择的诊断为CCF的患者中进行了一项横断面研究。通过社会人口统计学和临床因素问卷和贝克自杀意念量表对参与者进行评估。卡方检验,采用t检验和logistic回归分析。
■CCF患者中自杀意念和自杀企图的发生率分别为52%和1%,分别。没有社会人口统计学因素与自杀意念显着相关。与自杀意念相关的临床因素是诊断时的年龄（p=0.042），CCF的病因（p=0.001）和CCF的严重程度（p=0.032）。只有CCF的严重程度（比值比[OR]=20.557，p=0.014）可以预测CCF患者的自杀意念。
■自杀行为在门诊CCF人群中构成了巨大的负担。确定自杀意念的临床危险因素（诊断时的年龄，CCF的病因和严重程度）进一步阐明了CCF患者死亡的途径。
■这些发现为筛查自杀行为的必要性提供了声音，自杀预防方案,支持CCF患者心理健康的监测系统和政府政策。
