自杀和所有原因的死亡率在VigilanS队列中自杀未遂后1年内
Alice Demesmaeker1,2, Ali Amad1, Emmanuel Chazard3
1Univ. Lille, Inserm, CHU Lille, U1172 - LilNCog-Lille Neuroscience & Cognition, F-59000, France.
The Journal of clinical psychiatry
|September 14, 2023
概括
了解自杀企图的结果对于预防至关重要. 45岁以上的男性和那些试图自杀的人在一年内面临更高的死亡风险,特别是在试图自杀后的最初几个月.
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:
- 了解自杀企图 (SA) 后的患者结果对于有效的自杀预防策略至关重要.
- 维吉兰S计划提供了一个队列,用于研究SA后的死亡率和风险因素.
研究的目的:
- 在自杀企图发生后1年内确定死亡原因,死亡率和危险因素.
- 确定与SA后自杀死亡相关的特定人口和临床因素.
主要方法:
- 这是一项前性队列研究,涉及2017-2018年间试图自杀的7406人.
- 生命状况和死亡原因通过全科医生或精神科医生联系来确定.
- 多变量考克斯模型评估了因素与1年内自杀死亡之间的关系.
主要成果:
- 1.7% (125/7,406) 的参与者在1年内死亡;77人死于自杀.
- 一半的死亡发生在SA.后4个月内. 常见的方法包括吊死和自我毒害.
- 男性性别,45岁以上和年轻年龄 (<25岁) 与自杀风险显著相关.
结论:
- 试图自杀的100个人中,有1个人在1年内死于自杀.
- 自杀企图后的几个月需要提高警,特别是在45岁以上的男性中.
- 针对高风险群体的有针对性的干预措施可能会改善自杀企图后的结果.
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