편두통 환자에서 자살경향성과 위험인자

Abstract

Background: Migraine patients have a higher frequency of suicidality than people without migraine. The aim of this study was to identify suicidality and its risk factors in migraine patients. Methods: We enrolled 358 migraine patients from 11 hospitals. We collected data regarding their clinical characteristics and the patients completes the questionnaires. We also interviewed patients with the Mini International Neuropsychiatric Interview (MINI) plus version 5.0.0 to identify their suicidality. The International Classification of Headache Disorders, third edition, beta version was used in headache diagnosis. Results: The frequency of suicidality in migraine patients was 118 (33.0%). Migraine patients with suicidality were more likely to have a major depressive disorder or generalized anxiety disorder than those without suicidality. Among variables, risk factors for suicidality in migraine patients were female (odds ratio [OR], 4.110; 95% confidence interval [CI], 1.553 10.878; p=0.004), attack duration (OR, 2.559; 95% CI, 1.210 5.413; p=0.011), Patient Health Questionnaire 9 (OR, 1.111; 95% CI, 1.038 1.189; p=0.002), and Generalized Anxiety Disorder 7 (OR, 1.194; 95% CI, 1.101 1.294; p<0.001). Conclusions: Suicidality in migraine patients is common. Therefore, clinicians who take care of migraine patients should be concerned about suicidality and its risk factors such as female gender, attack duration, depression or anxiety