其他精神健康个体的终身自杀企图
Maria A Oquendo1, Melanie Wall2, Shuai Wang3
1Perelman School of Medicine, University of Pennsylvania, Philadelphia.
JAMA psychiatry
|February 21, 2024
概括
近20%的试图自杀的人没有先前的精神疾病. 这凸显了需要将自杀风险查范围扩大到精神病患者之外的需要.
科学领域:
- 精神病学是一个精神病学.
- 流行病学 流行病学
- 公共卫生 公共卫生
背景情况:
- 并不是所有自杀的人都被诊断出患有精神疾病.
- 人们对精神健康个体中自杀企图的流行率和特征知之甚少.
研究的目的:
- 确定有自杀尝试史的个人的百分比,其第一次自杀尝试发生在任何精神疾病发作之前.
主要方法:
- 采用美国国家流行病学研究中和相关疾病III (NESARC-III) 的数据进行的横截面研究.
- 分析包括了1948名有终身自杀企图的人,年龄在20-65岁.
- 权重分析占取样和非响应,分别对性别和年龄组进行分析.
主要成果:
- 据估计,有19.6%的终身自杀企图的人在任何明显的精神障碍之前第一次尝试了自杀.
- 在精神疾病之前的尝试的百分比中,没有发现显著的年龄或性别差异.
- 与男性相比,女性在精神疾病发病的一年更有可能尝试自杀.
结论:
- 很大一部分自杀企图发生在没有先前的精神疾病的情况下.
- 这些发现挑战了自杀风险仅限于精神病患者的假设.
- 结果表明需要扩大自杀风险查协议.
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