再次尝试自杀的危险因素:系统审查和元分析
Andres Pemau1, Carolina Marin-Martin2, Marina Diaz-Marsa3,4
1Universidad Complutense de Madrid, Madrid, Spain.
Psychological medicine
|April 16, 2024
概括
那些曾经尝试过自杀的人面临着再次尝试的更高风险. 重复自杀的关键风险因素包括以前的尝试,创伤和物质滥用,为更好的预防策略提供信息.
科学领域:
- 精神病学是一个精神病学.
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 自杀是全球主要的死亡原因.
- 曾经尝试过自杀的人,再次自杀的风险更高.
- 有限的数据存在于具体的自杀重试的风险因素.
研究的目的:
- 量化与自杀行为史和心理社会因素相关的自杀再尝试风险.
- 估计各种风险因素对自杀再尝试的个体影响.
主要方法:
- 按照PRISMA-2020指南进行系统审查和元分析.
- 从开始到2022年,搜索了关于自杀再尝试风险因素研究的数据库.
- 包括检查自杀史,酒精/毒品滥用,冲动性,创伤和非自杀自伤的研究.
主要成果:
- 分析了34篇文章,产生了52个效果大小.
- 对于重试风险的总体显著的聚合效应大小 (OR 2.16).
- 重复尝试的重大风险因素包括:以前的自杀史,活跃的自杀念头,创伤,滥用酒精和滥用药物.
- 冲动性和非自杀自伤没有显著预测再次尝试.
结论:
- 许多已确定的自杀风险因素也与再次尝试自杀有关.
- 识别那些再次尝试自杀的人的特征对于有针对性的预防和干预至关重要.
- 这些发现可以为开发更有效的策略提供信息,以减少再次自杀的尝试.
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