自杀在医院治疗自伤后的五年内:数据链接队列研究
Angela Clapperton1, Matthew J Spittal1, Jeremy Dwyer2
1Centre for Mental Health and Community Wellbeing, Melbourne School of Population and Global Health, University of Melbourne, Melbourne, VIC, Australia.
Journal of affective disorders
|April 24, 2024
概括
在医院治疗的自我伤害预测了自杀. 识别风险因素,如特定的方法 (悬挂,汽车废气) 和人口统计数据,可以改善风险人群的自杀预防.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 心理健康研究 心理健康研究
背景情况:
- 在医院治疗的自我伤害是自杀的重要预测因素.
- 医院接触代表了自杀预防干预的潜在机会.
- 了解与自杀相关的因素 医院治疗后自伤对公共卫生战略至关重要.
研究的目的:
- 确定在医院治疗自我伤害的个体中与自杀相关的人口,临床和自我伤害方法相关的因素.
- 为高风险人群提供有针对性的自杀预防策略.
主要方法:
- 在澳大利亚维多利亚州进行了一项队列研究,追踪了2011-2012年期间14307名因自我伤害而接受治疗的个人.
- 与维多利亚州自杀登记处的数据链接在5年的随访期间确定了自杀.
- 包括多变量建模在内的生存分析被用来估计基于各种暴露变量的自杀危险比率 (HRs).
主要成果:
- 在女性中,自杀风险增加与年龄在50-74岁之间有关,居住在最不不利的地区,使用吊死来自伤,并具有有机障碍或人格障碍.
- 在男性中,增加的自杀风险与使用机动车尾气 (MVEG) 进行自我伤害以及因滥用精神活性物质而出现疾病有关.
- 特定的自我伤害方法 (挂,MVEG) 和某些临床诊断在各自的性别中显著增加了自杀风险.
结论:
- 对于所有因自我伤害而接受治疗的患者来说,例行风险和需求评估至关重要.
- 使用吊死或MVEG自伤的个人需要特别密切的随访和有针对性的自杀预防工作.
- 这项研究突出了更高风险的特定子组,使得预防自杀的资源分配更有效.
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