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精神科医生密度和自杀风险:一个基于台湾全国样本的多层次病例控制研究
Wei-Chia Huang1,2, Chia-Yueh Hsu3,4,5, Chia-Ming Chang6
1Department of Psychiatry, National Taiwan University Hospital and College of Medicine, National Taiwan University, Taipei, Taiwan.
Psychiatry and clinical neurosciences
|October 9, 2023
概括
更高的精神病医生密度与更低的自杀风险有关. 增加获得心理健康服务的机会可能是预防自杀的关键.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 心理健康服务研究 心理健康服务研究
背景情况:
- 自杀在全球范围内仍然是一个重大的公共卫生问题.
- 心理健康专业人员在预防自杀中的作用需要进一步调查.
- 以前的研究还没有全面研究精神病医师密度对自杀率的影响,同时考虑个人和区域因素.
研究的目的:
- 调查精神病医师密度与自杀风险之间的关联.
- 在分析中考虑个人层面的特征和区域层面的社会经济因素.
- 确定心理健康专业人员的可用性增加是否与自杀率降低相关.
主要方法:
- 一项基于人口的研究,利用台湾2007-2017年国家死亡原因数据.
- 根据年龄和性别,自杀案例与10个对照人群相匹配.
- 多级模型被用来分析每10万人口的精神病医师密度的不同四分位数的自杀风险 (几率比),调整为共变量.
主要成果:
- 该研究包括40,930例自杀病例和409,300例对照病例.
- 与没有精神病学家的地区相比,精神病学家密度的增加与所有四分位数中自杀风险的降低显著相关.
- 自杀的调整几率比 (aORs) 随着精神病学家密度的增加而下降,Q4显示了最强的关联 (aOR,0.89;95% CI,0.83-0.95).
结论:
- 调查结果表明,更多的精神病医生可用性与较低的自杀率有关.
- 加强当地获得精神病医疗服务的机会是预防自杀的潜在有效策略.
- 公共卫生政策应考虑加强心理健康服务基础设施,以减轻自杀风险.
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