中学,高中和大学生中自杀死亡率和动机
Motohiro Okada1, Ryusuke Matsumoto1, Takashi Shiroyama1
1Division of Neuroscience, Department of Neuropsychiatry, Graduate School of Medicine, Mie University, Tsu, Japan.
JAMA network open
|August 7, 2023
概括
日本的学生自杀率在COVID-19大流行期间增加,原因是学校,健康和家庭问题. 这些趋势始于大流行之前,表明影响年轻人的因素的复杂相互作用.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 精神病学是一个精神病学.
背景情况:
- 在日本,每10万人口中自杀死亡率 (SMRP) 在大流行前有所下降,但在COVID-19期间意外上升.
- 在学生中这种增长的潜在机制仍然不太清楚.
研究的目的:
- 确定2007年至2022年日本学生自杀死亡率和动机相关的趋势和因素.
- 根据动机,性别和学校水平分析SMRPs的年龄和时间波动.
主要方法:
- 使用政府自杀数据库 (国家警察局的自杀统计) 进行横截面研究.
- 对中学,高中和大学学生的SMRP进行分析.
- 将线性混合效应和连接点回归模型应用于分类数据.
主要成果:
- 男学生的主要动机:与学校有关的 (低成绩,未来的担忧),家庭和健康.
- 对于女学生来说:学校/家庭动机减少,健康动机增加 (根据年龄而定).
- 对于主要受影响的动机 (学校,健康,家庭) 的SMRP在2010年代末开始增加,比大流行之前.
结论:
- 疫情前的趋势表明,越来越多的SMRP与流行病相关的因素和先前存在的因素有关.
- 与学校,健康和家庭相关的问题是重要的动机,具有特定年龄的模式.
- 将研究结果统一应用于所有学生级别的学校预防计划可能是不合适的.
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