生活事件可以预测第一次自杀企图吗? 一个全国性的纵向研究
Mogens Nygaard Christoffersen1, Lorraine Khan2
1The Danish Center for Social Science, Denmark.
概括
识别高风险青年进行自杀预防是可能的,挑战了预防悖论. 针对家庭,心理健康和不良经历的早期干预策略可以减少首次自杀企图.
科学领域:
- 公共卫生 公共卫生
- 精神病学是一个精神病学.
- 流行病学 流行病学
背景情况:
- 预防悖论表明,大多数自杀企图都来自低风险群体,这使得高风险群体的识别变得困难.
- 这项研究调查了确定首次自杀企图的高风险群体的可行性.
研究的目的:
- 确定是否可以确定首次自杀企图的高风险群体.
- 在一个大出生队列中探索首次自杀企图的预测因素.
主要方法:
- 使用了15岁至29岁的6个国家出生队列 (N=300,000) 的行政登记册.
- 采用离散时间物流几率比率模型来估计风险参数.
- 分析了家庭背景,育儿因素,精神病诊断和受害者作为预测因素.
主要成果:
- 第一次自杀企图的终身患病率为4.5%.
- 确定了一个独特的高危人群 (<12%),占所有首次自杀企图的三分之二.
- 三分之一的尝试来自低至中等风险群体,这表明了部分预防悖论.
结论:
- 有可能确定一个重要的高风险群体第一次自杀企图.
- 调查结果支持普遍,有针对性和指示的预防方法的综合战略.
- 早期发现和干预对于有效的自杀预防政策和实践至关重要.
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