离开英国武装部队后自杀 1996-2018:一项队列研究
Cathryn Rodway1, Saied Ibrahim1, Jodie Westhead1
1National Confidential Inquiry into Suicide and Safety in Mental Health (NCISH), Centre for Mental Health and Safety, School of Health Sciences, University of Manchester, Manchester, United Kingdom.
PLoS medicine
|August 8, 2023
概括
总体而言,英国武装部队 (UKAF) 退伍军人的自杀风险并不高,但25岁以下的年轻退伍军人面临的风险明显更高. 针对年轻退役军人提供有针对性的心理健康支持,对于预防自杀至关重要.
科学领域:
- 军事卫生研究军事卫生研究
- 公共卫生监督是对公共卫生的监督.
- 自杀的流行病学 自杀的流行病学
背景情况:
- 关于退伍军人自杀的有限的国际和没有最近的英国范围的研究存在.
- 由于最近的密集作战,英国武装部队 (UKAF) 退伍军人背景发生了变化.
- 了解英国退伍军人的自杀率和风险因素至关重要.
研究的目的:
- 调查UKAF人员退役后自杀的速度和时间.
- 确定与英国退伍军人自杀相关的危险因素.
- 将退伍军人的自杀风险与普通人口进行比较.
主要方法:
- 对UKAF毕业生 (1996-2018) 的回顾性队列研究.
- 关联国家数据库,用于人员退役和自杀死亡.
- 使用了生存分析和条件后勤回归.
主要成果:
- 总体而言,退伍军人自杀率与普通人口相似 (SMR 94).
- 25岁以下的退伍军人自杀风险高出2-3倍 (ASMRs 160-409).
- 男性性别,军队服役,退役年龄较小,未受过训练的身份和服役10年以下的人有更高的风险;婚姻,更高的军和战斗部署降低了风险.
结论:
- 英国退伍军人自杀风险并不均高,但与年龄相关的差异显著.
- 年轻的退伍军人 (25岁以下) 是一个关键的高风险群体,需要专注的支持.
- 建议加强对年轻退伍军人的心理健康护理和社会支持,以及一般退伍军人自杀预防策略.
相关概念视频
Post-traumatic Stress Disorder
71
Post-traumatic stress disorder (PTSD) is a psychiatric condition that arises following exposure to traumatic events such as natural disasters, forced displacement, or severe accidents. It significantly impairs individuals' ability to cope with daily activities and disrupts their emotional and psychological equilibrium.
Symptoms and Behavioral Manifestations
A spectrum of distressing symptoms characterizes PTSD. Recurrent flashbacks, where individuals involuntarily relive traumatic events,...
Symptoms and Behavioral Manifestations
A spectrum of distressing symptoms characterizes PTSD. Recurrent flashbacks, where individuals involuntarily relive traumatic events,...
71
Stress and Mental Health
180
Chronic stress profoundly affects mental health, significantly influencing mood, behavior, and overall quality of life. Research closely links chronic stress with mental health conditions such as depression, anxiety, and substance use disorders. Ongoing exposure to stress can lead to physiological and psychological changes, initiating a cycle of emotional distress and maladaptive coping mechanisms.
Individuals with depression often experience challenges in both their personal and professional...
Individuals with depression often experience challenges in both their personal and professional...
180
Long-term Depression
2.6K
Long-term depression, or LTD, is one of the ways by which synaptic plasticity—changes in the strength of chemical synapses—can occur in the brain. LTD is the process of synaptic weakening that occurs over time between pre and postsynaptic neuronal connections. The synaptic weakening of LTD works in opposition to synaptic strengthening by long-term potentiation (LTP) and together are the main mechanisms that underlie learning and memory.
Calcium Ion Concentration Mechanism
If over...
Calcium Ion Concentration Mechanism
If over...
2.6K
Actuarial Approach
96
The actuarial approach, a statistical method originally developed for life insurance risk assessment, is widely used to calculate survival rates in clinical and population studies. This method accounts for participants lost to follow-up or those who die from causes unrelated to the study, ensuring a more accurate representation of survival probabilities.
Consider the example of a high-risk surgical procedure with significant early-stage mortality. A two-year clinical study is conducted,...
Consider the example of a high-risk surgical procedure with significant early-stage mortality. A two-year clinical study is conducted,...
96
Longitudinal Research
12.0K
Sometimes we want to see how people change over time, as in studies of human development and lifespan. When we test the same group of individuals repeatedly over an extended period of time, we are conducting longitudinal research. Longitudinal research is a research design in which data-gathering is administered repeatedly over an extended period of time. For example, we may survey a group of individuals about their dietary habits at age 20, retest them a decade later at age 30, and then again...
12.0K
Psychoneuroimmunology: Cardiovascular Disease
51
Psychoneuroimmunology (PNI) is a multidisciplinary field that examines how psychological factors, particularly stress, interact with the immune system and impact physical health. Research in PNI has shown that chronic or traumatic stress can disrupt both the hypothalamic-pituitary-adrenal axis and the sympathetic nervous system. These disruptions contribute to serious health conditions, including cardiovascular diseases.
A key area of focus in PNI is the relationship between stress and coronary...
A key area of focus in PNI is the relationship between stress and coronary...
51


