美国青少年自杀方法的趋势,1999-2020年
Cameron K Ormiston1,2, Wayne R Lawrence1,3, Saanie Sulley4
1Division of Intramural Research, National Institute on Minority Health and Health Disparities, National Institutes of Health, Bethesda, Maryland.
JAMA network open
|March 29, 2024
概括
从1999年到2020年,青少年自杀率在所有方法中都增加,枪支,中毒和刑方法的增加令人担忧,特别是在女性和少数民族青年中. 迫切需要有效的预防策略来应对这些趋势.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 青少年健康 青少年健康
背景情况:
- 青少年自杀在美国是一个关键的公共卫生问题.
- 不同的人口群体中自杀方法的时间趋势仍未得到充分研究.
研究的目的:
- 通过方法 (枪支,中毒,死/窒息,其他) 分析1999年至2020年青少年自杀死亡率的国家趋势.
- 检查这些趋势跨越各种人口特征,包括年龄,性别和种族/种族.
主要方法:
- 一个连续的横截面研究,利用从1999年到2020年青少年 (10-19岁) 的国家死亡证明数据.
- 每种自杀方法的年龄标准化死亡率和年平均百分比变化 (AAPC) 用人口因素计算.
主要成果:
- 从1999年到2020年,所有方法 (枪支,中毒,死,其他) 的自杀率都增加了.
- 在女性青少年中,中毒和死自杀的急剧增加.
- 从2008年到2020年,黑人,亚洲/太平洋岛民,美洲印第安人/阿拉斯加原住民以及西班牙裔/拉丁裔青少年的枪支自杀率显著增加.
结论:
- 从1999年到2020年,青少年所有方法的自杀率都在上升.
- 根据性别,年龄和种族/种族,观察到趋势的差异.
- 种族和少数民族年轻人中不断升级的比例迫切需要制定和实施有针对性的预防策略.
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