离婚和自杀企图的风险:瑞典国家研究
Alexis C Edwards1, Henrik Ohlsson2, Jessica E Salvatore3
1Department of Psychiatry, Virginia Institute for Psychiatric and Behavioral Genetics, Virginia Commonwealth University School of Medicine, Richmond, VA, USA.
Psychological medicine
|December 12, 2023
概括
离婚增加了自杀企图的风险,尤其对女性和那些短暂婚姻的人来说. 这种风险在离婚后立即最高,但长期存在,这表明需要早期干预的因果关系.
科学领域:
- 社会学 社会学 社会学
- 精神病学是一个精神病学.
- 公共卫生 公共卫生
背景情况:
- 以前的研究表明,离婚和自杀企图之间存在联系.
- 这种复杂的关系需要对性别差异,时间和潜在原因进行澄清.
研究的目的:
- 为了调查离婚和自杀企图之间的关联.
- 检查影响这种关系的性别差异,时间模式和家庭因素.
主要方法:
- 利用瑞典国家长度登记数据 (N = 1,601,075) 对1978-2018年间结婚的个人.
- 雇佣了Cox的比例风险模型和相对分析,以评估离婚与自杀企图的关联以及潜在的混因素.
主要成果:
- 离婚与自杀企图的风险显著增加有关 (调整后HRs为1.66-1.77).
- 风险在离婚后的第一年达到顶峰 (HRs 2.20-2.91),并持续超过5年 (HRs 1.41-1.51).
- 与男性相比,来自较短的婚姻的个人和离婚的女性的风险更高.
结论:
- 离婚与自杀企图的联系是复杂的,受性别和离婚后的时间的影响.
- 同相对分析表明,家族混因素和因果途径都对观察到的关联有所贡献.
- 诸如行为疗法之类的干预措施在离婚过程的早期可能是最有效的,特别是对于女性和婚姻持续时间短的人来说.
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