退伍军人与残疾非退伍军人之间的自杀想法,计划和企图
Rebecca K Blais1, Zhigang Xie2, Anne V Kirby3
1Arizona State University, Tempe.
JAMA network open
|October 13, 2023
概括
与残疾的非退伍军人相比,残疾的退伍军人自杀计划和尝试的风险较低. 这表明退伍军人身份可能会减轻这一群体的自杀风险.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 心理健康研究 心理健康研究
背景情况:
- 残疾人面临自杀思想,计划和企图的高风险.
- 与普通人群相比,退伍军人的自杀死亡率和残疾率更高.
研究的目的:
- 调查退伍军人身份与残疾人自杀风险之间的关联.
- 为了确定作为退伍军人是否会在残疾背景下改变自杀风险.
主要方法:
- 利用了2015-2020年国家药物使用和健康调查 (NSDUH) 的横截面,自我报告的数据.
- 分析了超过231,000名美国成年人的数据,加权以代表全国人口.
- 采用多变量后勤回归来评估自杀想法,计划和尝试,作为退伍军人和残疾状态的函数.
主要成果:
- 在没有残疾的个人中,退伍军人身份与更高的自杀计划风险有关 (AOR, 1.71).
- 相反,在那些有一个或两个残疾限制的人中,退伍军人身份与自杀计划 (AOR,0.57) 和自杀企图 (AOR,0.46) 的风险较低有关.
- 总体而言,4.39%的总样本报告了自杀想法,计划或尝试.
结论:
- 退伍军人的身份似乎可以减轻残疾人的自杀风险,退伍军人与具有类似限制的非退伍军人相比,计划和尝试率较低.
- 潜在的保护因素可能包括通过退伍军人事务部增加获得与残疾有关的护理的机会.
- 建议进行进一步的研究,以探索残疾类型,原因和感知到的自我价值对退伍军人的自杀风险的影响.
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