エイズ患者の自殺リスク. 国家レベルの評価です
T R Coté1, R J Biggar, A L Dannenberg
1National Cancer Institute, Viral Epidemiology Section, Rockville, Md 20852.
JAMA
|October 21, 1992
まとめ
既得免疫不全症候群 (AIDS) の患者は,自殺のリスクが著しく高い. しかし,このリスクは1987年から1989年にかけて減少した.これは治療と介護の改善による可能性がある.
科学分野:
- エピデミオロジー エピデミオロジー
- 公衆衛生は公衆衛生である.
- 精神科医は精神病を患っている.
背景:
- 既得免疫不全症候群 (AIDS) は,精神的健康に影響を与えるユニークな課題を提示しています.
- 慢性および生命を制限する疾患を有する個人の自殺リスクは,慎重に検討する必要があります.
研究 の 目的:
- 米国におけるエイズ感染者 (PWA) の自殺の発生率,危険因子,傾向,および自殺の方法を決定する.
- この集団における自殺予防のための臨床実務と公衆衛生戦略を参考にすること.
主な方法:
- 死亡率データ (1987年−1989年) を利用した国立保健統計センター.
- 公共のアクセス可能なエイズ監視データとクロス参照して,人-年の観察を計算します.
- AIDSと自殺の両方を示す死亡証明書を使用して,PWAの間で自殺を特定しました.
主要な成果:
- 1987年から1989年の間に,PWAの間で165件の自殺が記録されました.
- PWAsは,一般的な男性人口よりも7.4倍高い自殺率を持っていた.
- 薬物による自己中毒が最も一般的な方法であり,1987年から1989年にかけて自殺のリスクは著しく減少した.
結論:
- エイズに罹患している人は自殺のリスクが高くなり,日常的なリスク評価が必要になります.
- 潜在的に致死性の高い薬剤を処方する際には,自殺リスクの慎重な検討が不可欠です.
- 観察された自殺率の減少は励みであり,HIV/AIDSの治療とケアにおける進歩を反映している可能性があります.
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