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自杀行为在自闭症谱系障碍中的流行
Anne Huntjens1,2, Annemiek Landlust3,4, Sophie Wissenburg1,2
1Department of Clinical Psychology, VU University and Amsterdam Public Health Research, Amsterdam, The Netherlands.
自闭症患者的自杀念头 (SI) 和自杀企图 (SA) 率很高. 这一元分析显示SI的终身患病率估计为37.2%,SA的15.3%,强调需要临床关注.
科学领域:
- 精神病学是一个精神病学.
- 神经发育障碍 神经发育障碍
- 公共卫生 公共卫生
背景情况:
- 自杀念头 (SI) 和自杀企图 (SA) 是自闭症患者的重要关注点.
- 在自闭症患者中,SI和SA的先前流行率并未通过元分析进行合成.
研究的目的:
- 估计自闭症个体中SI和SA的综合流行率.
- 根据研究特征和质量,调查SI和SA患病率的亚组变化.
主要方法:
- 系统的文献搜索产生了52项研究,包括88,509名自闭症参与者.
- 随机效应元分析以计算SI和SA的聚合流行率估计.
- 亚组分析以确定影响流行率的因素.
主要成果:
- 估计的一生患病率:SI 37.2%,SA 15.3%.
- 12个月的流行率估计:SI 25.4%,SA 14.1%.
- 观察到年龄,地区,数据收集方法,测量尺度和样本代表性的显著亚组差异.
结论:
- 自闭症患者的自杀想法和自杀企图的患病率很高.
- 调查结果强调了对自闭症患者在临床实践中进行系统自杀倾向评估和有针对性的干预措施的必要性.
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