自杀死亡之前没有非致命的自杀行为,揭示了临床风险的差异
Hilary Coon1, Andrey Shabalin1, Emily DiBlasi1
1Department of Psychiatry & Huntsman Mental Health Institute, University of Utah School of Medicine, Salt Lake City, UT, USA.
medRxiv : the preprint server for health sciences
|June 17, 2024
概括
自杀死亡人数根据先前的非致命性自杀行为有显著差异. 身体健康问题,而不是心理健康诊断,更与没有自杀行为史的自杀死亡有关.
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:
- 非致命的自杀是一种强烈的自杀死亡预测因素,但大多数尝试不会导致死亡.
- 大约一半的自杀死亡发生在没有记录的先前尝试的情况下,强调需要确定其他危险因素.
研究的目的:
- 调查自杀死亡与没有非致命自杀行为 (SI/SB) 的历史之间的临床差异.
- 为了确定与自杀死亡相关的非致命性自杀性之外的危险因素.
主要方法:
- 分析了来自4000例自杀死亡和26191例对照群的人口确定的数据.
- 使用电子健康记录,包括诊断代码和自然语言处理,以识别有或没有先前非致命SI/SB的个人.
- 自杀死亡的比较特征与以前的SI/SB (SUI_SI/SB) 与那些没有 (SUI_None) 和控制与 (CTL_SI/SB) 和没有 (CTL_None) 终身自杀.
主要成果:
- 没有先前SI/SB的自杀死亡 (SUI_None) 和他们的对照 (CTL_None) 较老,与SI/SB的组相比,诊断较少.
- 在SUI_None和CTL_None组中,精神健康诊断的普遍性较低,与自杀死亡的相关性较小,而不是SI/SB.
- 身体健康诊断更频繁地与自杀死亡风险相关,而不是SI/SB的存在.
结论:
- 自杀死亡与没有非致命SI/SB史的自杀死亡之间存在显著的临床区别.
- 身体健康状况可能是没有事先记录的自杀行为的人中自杀死亡的关键,未被认可的危险因素.
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