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博问题的个体中自杀倾向:一个元分析性文献综述
Joakim Hellumbråten Kristensen1, Ståle Pallesen1, Jonas Bauer1
1Department of Psychosocial Science, University of Bergen.
Psychological bulletin
|December 14, 2023
概括
博问题的人群中,自杀倾向很常见,超过30%的人有自杀想法,13%的人尝试自杀. 帮助机构应该解决这个重要的公共卫生问题.
科学领域:
- 精神病学和行为科学
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 博问题始终与自杀相关,包括自杀想法,尝试和完成的自杀.
- 这种关系的确切程度和潜在的因果关系尚不清楚,需要进一步调查.
- 现有研究表明,在博问题和自杀倾向之间报告的关联中,存在显著的变化.
研究的目的:
- 综合结合的自杀倾向的发病率在体验博问题的人群中.
- 为了确定与对照组相比,有博问题的人是否更有可能报告自杀倾向.
- 审查有关博问题与自杀关系的因果关系和方向性的现有证据.
主要方法:
- 进行了全面的元分析文献审查,搜索了多个电子数据库.
- 分析包括107项发表在欧洲语言的独特研究 (N = 4,691,899).
- 数据由两位研究人员独立提取,使用预定义的方案,包括质量评估.
主要成果:
- 在有博问题的个人中,终身自杀念头的综合患病率为31.6%,终身自杀企图为13.2%.
- 与没有博问题的人相比,博问题的人报告有终身自杀念头 (OR = 2.17) 和自杀企图 (OR = 2.81) 的几率要高得多.
- 两项研究表明,患有病态博的人群中,自杀死亡风险增加.
结论:
- 自杀倾向是博问题的个体中普遍存在的问题,这强调了需要援助机构进行干预的需要.
- 目前的证据基础,由于缺乏纵向研究而受到限制,阻碍了明确的因果和方向推断.
- 超回归确定了研究偏差和精神病并发症作为影响流行率的因素,而样本大小显示了相反的关联.
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