身体形障碍的故意自我伤害和自杀死亡:全国范围的队列研究
Daniel Rautio1, Kayoko Isomura1, Johan Bjureberg1
1Centre for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institutet, Sweden and Stockholm Health Care Services, Region Stockholm, Sweden.
Biological psychiatry
|May 11, 2024
概括
身体形障碍 (BDD) 患者面临故意自伤和自杀的风险增加了三倍. 对这种高风险人群来说,早期识别和干预至关重要.
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:
- 身体形障碍 (BDD) 是一种精神健康状况,其特点是对外表的缺陷有着强迫性关注.
- BDD与严重的痛苦和功能障碍有关.
- 以前的研究表明,BDD与增加自杀风险之间存在联系.
研究的目的:
- 在被诊断为BDD的个人中量化故意自我伤害和自杀死亡的风险.
- 将这些风险与普通人口中匹配的队列进行比较.
主要方法:
- 使用瑞典国家患者登记册 (1997-2020) 进行全国性队列研究.
- 患有BDD的个人 (n=2833) 与没有BDD的10个对照组 (n=28330) 相匹配.
- 统计模型 (Poisson回归,Cox比例危险) 经过调整以考虑社会人口统计学因素和精神病相关疾病.
主要成果:
- 患有BDD的人有3.37倍的故意自我伤害风险增加 (16.45%对3.78%).
- 在BDD诊断之前,很大一部分 (67%) BDD患者经历过自我伤害.
- 在BDD组中,自杀死亡的风险是BDD组的3.47倍 (0.60%对0.10%).
结论:
- 身体形障碍与故意自伤和自杀的风险增加了三倍.
- 这些发现强调了对BDD患者的心理健康支持和自杀预防策略的急需.
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