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中国における自殺の危険因子:全国的なケース・コントロール心理解剖研究
Michael R Phillips1, Gonghuan Yang, Yanping Zhang
1Beijing Suicide Research and Prevention Center, Beijing Hui Long Guan Hospital, 100096, Beijing, People's Republic of China. phillips@public3.bta.net.cn
Lancet (London, England)
|December 14, 2002
まとめ
中国の自殺リスク要因には,うつ病,以前の自殺未遂,ストレスなどがあります. 複数の危険因子を持つ個人に焦点を当てることは,効果的な自殺予防プログラムの鍵です.
科学分野:
- 精神科医は精神病を患っている.
- 公衆衛生は公衆衛生である.
- エピデミオロジー エピデミオロジー
背景:
- 自殺は中国の主要な死因です.
- 中国における自殺パターンの背後にあるユニークな特徴と理由を理解することは極めて重要です.
研究 の 目的:
- 中国の人口における自殺の有意な予測要因を特定する.
- 危険因子の数と自殺リスクとの関係を調査する.
主な方法:
- 自殺で死亡した個人の家族や仲間と対照群を対象に,包括的なインタビューベースの研究が行われました.
- 中国の23の代表的なサイトで519件の自殺と536件のコントロールからデータを収集した.
主要な成果:
- 自殺の有意な予測要因は,うつ病,自殺未遂,急性および慢性ストレス,生活の質の低下,対人紛争,および自殺行動の家族/友人の歴史を含む8つと特定されました.
- 自殺リスクは,リスク要因の数に伴い,著しく上昇し,6つ以上のリスク要因に曝された個人の96%が自殺で死亡しました.
結論:
- 中国と欧米の自殺の特徴にはいくつかの違いがあるが,主なリスク要因は類似している.
- 効果的な自殺予防には,単一の危険因子だけに集中するのではなく,複数の危険因子を持つ個人をターゲットにする必要があります.
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