关于注意力缺陷多动症障碍患者全因和自杀死亡率的长度研究
Jia-Shyun Jeng1,2, Hsiang-Hsuan Huang3,4, Wen-Han Chang1
1Department of Psychiatry, Taipei Veterans General Hospital, Taipei, Taiwan.
European child & adolescent psychiatry
|June 25, 2024
概括
注意缺陷多动症 (ADHD) 与较高的死亡率有关,主要是自杀. 精神病的并发症显著增加了ADHD患者的自杀风险.
科学领域:
- 精神病学和行为科学
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 注意缺陷多动症 (ADHD) 与全因死亡率的增加有关,通常是由于意外和自杀等非自然原因.
- 这种更高的风险可能受到共发生的精神疾病的影响,如精神分裂症,双相情感障碍和物质使用障碍.
研究的目的:
- 调查被诊断患有多动症的个体的全因和因特定死亡率.
- 评估精神病并发症对ADHD患者死亡风险的影响.
主要方法:
- 这是一项大规模的研究,涉及来自台湾国家健康保险研究数据库 (2003-2017) 的117万人.
- 包括233,886个患有ADHD的个体和一个没有ADHD的匹配对照组.
- 通过调整人口统计因素来计算死亡风险比率.
主要成果:
- 与对照人群相比,患有ADHD的个体有1.45倍以上的全因死亡风险.
- 自杀是ADHD组死亡率增加的主要原因之一.
- 精神病并发症显著增加了自杀风险,危险比率从6.42到47.06.
结论:
- ADHD独立地与增加的死亡率有关,主要是由于自杀.
- 同时出现的精神疾病的存在显著放大了ADHD患者自杀死亡率的风险.
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