21世纪美国自杀和谋杀的趋势
Oluwasegun Akinyemi1, Temitope Ogundare2, Terhas Wedeslase3
1Surgery, Howard University Hospital, Washington, USA.
Cureus
|June 24, 2024
概括
美国因自杀和谋杀而导致的暴力死亡人数正在增加,美洲印第安人和年轻人群体的明显增加. 针对心理健康和社会因素的有针对性的干预措施对公共健康至关重要.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 伤害预防 预防伤害
背景情况:
- 暴力死亡,包括自杀和杀人,是美国的一个严重的公共卫生问题.
- 了解时间趋势和风险因素对于制定有效的干预策略至关重要.
研究的目的:
- 分析过去二十年 (2000-2020) 的自杀和杀人趋势.
- 使用CDC数据识别暴力死亡的人口和上下文预测因素.
主要方法:
- 对2000年至2020年的死亡记录进行了回顾性分析.
- 多变量回归分析检查年龄,种族,性别,教育,心理健康状况和时间段.
- 用于评估自杀和杀人的趋势的年龄调整率.
主要成果:
- 自杀率从10个增加到每10万人的14个以上,美国印第安人和25岁以下的个人显著增加.
- 谋杀率保持稳定,但在2019-2020年增加,非洲裔美国人中持续高,美洲印第安人增加.
- 与更高的自杀率相关的因素包括高等教育,抑郁症和双相情感障碍. 谋杀风险因素包括非洲裔美国人,拉丁裔,年龄在25岁以下,教育程度较低.
结论:
- 这项研究揭示了美国自杀和杀人的不断变化的人口统计模式.
- 有针对性的公共卫生反应是必要的,包括限制手段,普遍的自杀查和解决心理健康耻辱.
- 综合战略必须包括改变社会对自杀和杀人的态度的干预措施.
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