调查因自杀和其他原因而丧生的丧生周年纪念日的自我伤害和自杀风险:一项基于丹麦人口的自我控制案例系列研究
Alexandra Pitman1,2, Yanakan Logeswaran1, Keltie McDonald1
1UCL Division of Psychiatry, University College London (UCL), London, UK.
Epidemiology and psychiatric sciences
|August 8, 2023
概括
自杀丧亲并不会增加周年纪念日或生日周围的自我伤害风险. 对于自杀丧失幸存者的支持在整个悲伤过程中至关重要,而不仅仅是在重要日期.
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:
- 丧亲自杀的个人面临自我伤害和自杀的高风险.
- 之前的观察表明,在情感上有意义的日期周围的悲伤增加了悲伤的个人.
研究的目的:
- 调查自杀风险,特别是自伤和自杀风险,在自杀丧亲和伴侣中,在死亡周年纪念日或死者的生日周围是否升高.
- 将这种风险与中间期和因其他原因丧生的个人进行比较.
主要方法:
- 一个自我控制的案例系列研究利用了1980-2016年的丹麦国家注册数据.
- 包括因自杀或其他原因丧生的一级亲属和伴侣,其结果 (自伤或自杀) 在丧生的5年和6周内发生.
- 在周年纪念日/生日周围的时期,与中间时期和丧失后的最初30天内自杀行为发生率的比较.
主要成果:
- 对于那些因自杀 (IRRadj=1.00) 或其他原因 (IRRadj=1.04) 丧生的人,周年纪念日或生日周围没有发现自杀行为风险增加.
- 在因其他原因丧生的30天后,观察到明显增加自杀行为风险 (IRRadj=1.95).
结论:
- 研究结果不支持这样的假设,即自杀风险在周年纪念日或生日周围增加,对于那些因自杀而丧生的个人而言.
- 自杀伤亡幸存者的哀悼护理应该在悲伤的整个过程中都能获得,同时也应认识到随着时间的推移需要的变化.
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