自杀和中国大陆精神分裂症的独特流行模式:一项追溯观察性研究
Michael R Phillips1, Gonghuan Yang, Shuran Li
1Beijing Suicide Research and Prevention Centre, Beijing Hui Long Guan Hospital, Beijing, People's Republic of China. phillips@public3.bta.net.cn
Lancet (London, England)
|September 24, 2004
概括
精神分裂症在中国影响了425万人,女性和城市地区的患病率更高. 精神分裂症显著增加了自杀风险,特别是在农村男性.
科学领域:
- 精神病学是一个精神病学.
- 流行病学 流行病学
- 公共卫生 公共卫生
背景情况:
- 精神分裂症和自杀在中国呈现独特的流行病学模式,女性患病率高于男性.
- 这些情况在中国构成了重大公共卫生挑战.
研究的目的:
- 为了介绍中国精神分裂症的流行数据.
- 估计中国大陆精神分裂症患者自杀的相对和可归因风险.
主要方法:
- 利用了国家精神病学流行病学研究数据,死亡记录,人口普查和心理尸检研究.
- 分析了1995-1999年中国大陆15岁及以上个体的数据.
- 估计的精神分裂症和自杀的频率和率.
主要成果:
- 据估计,中国有425万人患有精神分裂症.
- 在女性 (RR 1.77) 和城市地区 (RR 1.62) 中,精神分裂症的患病率更高.
- 精神分裂症患者的相对自杀风险高出23.8倍,占所有自杀的9.7%.
结论:
- 特定疾病的风险概况对于改善自杀预测和预防策略至关重要.
- 精神分裂症患者自杀率的性别和特定位置差异可能导致中国独特的流行病学模式.
- 根据已识别的风险因素定制预防工作至关重要.
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