视力障碍与自杀念头和自杀企图的关联:系统性审查和元分析
Rajeshkannan S1, Vishnu Vardhan Yenuganti1, Maria Annita Tellcott Solomon2
1Dept. of Community Medicine, Chettinad Hospital and Research Institute, Kanchipuram, Tamil Nadu, India.
Indian journal of psychological medicine
|July 24, 2023
概括
视力障碍 (VI) 患者面临的自杀想法和自杀企图的风险明显更高. 对于其他感官障碍的人来说,这种风险甚至更大,这凸显了综合心理健康支持的必要性.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 眼科医生 眼科 眼科
背景情况:
- 全球自杀率正在上升,自杀企图比死亡率更频繁.
- 感官障碍,包括视力障碍 (VI),是自杀风险的潜在贡献者.
- 了解VI和自杀行为之间的关联对于公共卫生干预至关重要.
研究的目的:
- 系统地审查和量化视力障碍 (VI) 与自杀行为风险之间的关联.
- 在大量人群中评估这种关系的强度和方向.
主要方法:
- 在主要数据库 (PubMed,Embase,Cochrane图书馆,clinicaltrials.gov) 进行了系统的文献搜索,截至2021年7月.
- 使用 95% 置信区间 (CI) 的聚合概率比率 (OR) 进行了定量合成.
- 进行了子组分析,以探索基于额外感官障碍的风险变化.
主要成果:
- 包括6项包括164,752名参与者的研究.
- 在VI和自杀念头 (OR:1.53,95%CI:1.30-1.79) 和自杀企图 (OR:4.55,95%CI:2.39-8.67) 之间发现了显著的关联.
- 与仅有VI (OR: 1.63) 的人相比,患有VI和其他感官障碍的人的自杀想法几率更高 (OR: 2.07).
结论:
- 视力障碍与自杀行为风险增加有显著的关联,特别是在双重感官障碍的情况下.
- 综合心理健康评估和管理对于视觉和其他感官障碍的人来说至关重要.
- 积极主动的心理健康护理可以帮助减轻这种脆弱人群中不良结果的风险.
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