与自杀企图相关的风险因素作为自杀的预测因素,哥伦比亚,2016-2017年
Luz Stella Castro Moreno1, Luis Fernando Fuertes Valencia1, Oscar Eduardo Pacheco García2
1Entrenamiento Programa de Epidemiología de Campo (FETP), Instituto Nacional de Salud, Bogotá, Colombia.
Revista Colombiana de psiquiatria (English ed.)
|October 20, 2023
概括
自杀企图是一个重要的公共卫生问题. 男性性别,农村生活,慢性病和抑郁症增加了自杀风险,50%的死亡发生在560天内.
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:
- 自杀行为是暴力死亡的主要原因,每年造成100万人的死亡.
- 自杀企图是自杀死亡的主要危险因素.
- 哥伦比亚在2017年报告了高自杀未遂率 (51.8/100,000) 和死亡率 (10.0/100,000).
研究的目的:
- 为了确定与自杀企图后死亡相关的因素.
- 为了确定在两年内自杀企图后个体的生存概率.
主要方法:
- 追溯队列研究分析了42,594份自杀企图记录和325份自杀死亡记录,从2016年至2017年.
- 统计分析包括千二测试,多变量逻辑回归,卡普兰-梅尔生存分析和考克斯回归.
- 研究了自杀死亡的危险因素.
主要成果:
- 男性自杀死亡的可能性是女性的4.5倍.
- 死亡的主要风险因素包括男性性别,成年期 (29岁以上),农村居住,慢性病史和抑郁症.
- 50%的自杀死亡发生在自杀企图后的560天内.
结论:
- 患有抑郁症,慢性疾病或工作负担重的男性面临着最高的自杀风险.
- 在自杀企图发生后,对高风险个体的早期识别和干预至关重要.
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