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在中国自杀的危险因素:国家病例控制心理尸检研究研究
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
概括
中国的自杀风险因素包括抑郁症,之前的尝试和压力. 专注于具有多种风险因素的个体是有效的自杀预防计划的关键.
科学领域:
- 精神病学是一个精神病学.
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 自杀是中国的主要死亡原因.
- 了解中国自杀模式背后的独特特征和原因至关重要.
研究的目的:
- 确定中国人口中自杀的重大预测因素.
- 调查风险因素数量与自杀风险之间的关系.
主要方法:
- 进行了一项基于采访的综合性研究,该研究涉及自杀和对照死亡的个人的家人和同事.
- 从中国23个代表性地点的519个自杀案例和536个对照点收集了数据.
主要成果:
- 确定了8个重要的自杀预测因素,包括抑郁症,以前的自杀企图,急性和慢性压力,生活质量低下,人际冲突和家庭/朋友自杀行为史.
- 自杀风险随着风险因素的增加而显著升级,有96%的人暴露在6个或更多的风险因素中,死于自杀.
结论:
- 虽然中国和西方的自杀特征存在一些差异,但核心的危险因素是相似的.
- 有效的自杀预防需要针对具有多种风险因素的个体,而不是只关注单个风险因素.
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