在遭受粮食不安全的人群中,自杀行为的全球负担:系统性审查和元分析
Mark Mohan Kaggwa1, Rita Akatussasira2, Firoj Al-Mamun3
1Department of Psychiatry and Behavioural Neurosciences, McMaster University Hamilton, Ontario, Canada; Department of Psychiatry, Faculty of Medicine, Mbarara University of Science and Technology, Mbarara, Uganda; Forensic Psychiatry Program, St Joseph's Healthcare Hamilton, Hamilton, Ontario, Canada.
Journal of affective disorders
|September 13, 2023
概括
粮食不安全与自杀行为,包括思想和计划的高患病率有关. 解决粮食不安全问题可能会改善心理健康并降低自杀风险,尽管自杀企图显示出复杂的关系.
科学领域:
- 公共卫生 公共卫生
- 心理健康研究 心理健康研究
- 全球卫生安全 全球卫生安全
背景情况:
- 粮食不安全是一个日益严重的全球性挑战,由气候变化,冲突和灾害加剧.
- 现有的研究表明,粮食不安全和自杀行为 (想法,计划,企图) 之间存在重大联系.
研究的目的:
- 进行一项元分析性审查,以确定粮食不安全个体中自杀行为的综合流行率.
- 检查粮食不安全和自杀行为之间的关联的强度.
主要方法:
- 在2022年7月之前对Ovid,PubMed,Web of Science和CINAHL数据库进行系统的文献搜索.
- 包括47项研究,其中有75,346名参与者经历粮食不安全.
- 随机效应模型用于计算自杀行为的聚合流行率和几率比率.
主要成果:
- 总的患病率:22.3%的人有自杀想法,18.1%的人有自杀计划,17.2%的人有自杀企图.
- 在粮食不安全和自杀思想,计划和未指明的自杀行为之间发现了积极的关联.
- 在粮食不安全和自杀企图之间观察到负面关联,特别是在非高收入国家.
结论:
- 在面临粮食不安全的人群中,自杀行为很普遍,这突出了一个关键的公共卫生问题.
- 旨在减少粮食不安全的干预措施可能会提高心理健康并降低自杀风险.
- 粮食不安全和自杀企图之间的矛盾的负面关系需要进一步深入调查.
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