在生育年龄妇女中,与自杀死亡率相关的因素:一个病例对照研究
Amy M Loree1, Leah M Hecht1, Hsueh-Han Yeh1
1Center for Health Policy & Health Services Research, Henry Ford Health, Detroit, MI, USA.
Journal of reproductive and infant psychology
|June 13, 2023
概括
患有心理健康或药物使用障碍的生殖年龄妇女,以及先前访问急诊室的妇女面临更高的自杀风险. 在这项研究中,围产期妇女和非西班牙裔白人妇女的自杀死亡率较低.
科学领域:
- 生殖健康 生殖健康
- 心理健康研究 心理健康研究
- 公共卫生监督 公共卫生监督
背景情况:
- 自杀死亡率仍然是生育年龄妇女的重大公共卫生问题.
- 了解人口,心理和医疗保健利用因素对于有针对性的预防策略至关重要.
研究的目的:
- 调查与生育年龄妇女自杀死亡率相关的因素.
- 为了确定人口统计学,心理社会,与怀孕相关的和医疗保健利用的自杀预测因素.
主要方法:
- 在心理健康研究网络中,使用了来自九个医疗保健系统的数据进行了一项病例控制研究.
- 290名因自杀而死亡的生育年龄妇女 (案例) 与2000年至2015年的2900名对照人群相匹配.
- 使用条件后勤回归分析来确定患者特征与自杀之间的关联.
主要成果:
- 心理健康障碍 (aOR=7.08) 和物质使用障碍 (aOR=3.16) 与增加自杀风险有显著的相关性.
- 前一年之前的急诊室访问 (aOR=3.47) 也与更高的自杀死亡率有关.
- 非西班牙裔白人妇女 (aOR=0.70) 和孕期妇女 (aOR=0.27) 显示自杀死亡率的可能性降低.
结论:
- 患有心理健康/物质使用障碍和先前遇到急诊室的生殖年龄妇女的自杀风险较高.
- 常规查和监测可能有利于发现这些风险因素的妇女.
- 需要进一步的研究来阐明怀孕相关因素与自杀死亡率之间的关系.
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