加拿大身心共同疾病的青少年的自杀想法和企图:一项流行病学研究的建议
Mark A Ferro1, Christy K Y Chan1, Dillon T Browne2
1School of Public Health Sciences, University of Waterloo, Waterloo, ON, Canada.
JMIR research protocols
|July 4, 2024
概括
患有慢性身体疾病 (CPI) 和精神疾病或神经发育障碍 (MIND) 并发症的年轻人面临更高的自杀风险. 了解这种联系对于制定针对性干预措施和支持这一弱势群体至关重要.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 儿童和青少年精神病学 儿童和青少年精神病学
背景情况:
- 慢性身体疾病 (CPI) 是青少年自杀倾向的一个确定的危险因素.
- 关联CPI和自杀倾向的机制,特别是同时出现精神疾病或神经发育障碍 (MIND) 的作用,需要进一步研究.
- 关于CPI和MIND对青少年自杀倾向的综合影响的数据有限.
研究的目的:
- 通过加拿大流行病学数据,检查CPI,MIND和青少年自杀倾向的交叉点.
- 估计CPI-MIND并发症的患病率及其与自杀倾向的关联.
- 确定预测因素,并调查CPI-MIND并发症的青少年的心理社会和服务使用结果.
主要方法:
- 利用了2019年加拿大儿童和青少年健康调查 (CHSCY) 的数据,其中包括47,850名儿童及其照顾者.
- 包括青年CPI,MIND,家庭环境,社会人口统计和精神病医疗服务使用的措施.
- 分析了15-17岁年轻人的自杀倾向数据 (n=6950),使用权重回归分析,考虑复杂的调查设计.
主要成果:
- 初步数据显示,大约20%的年轻人患有CPI,7%患有MIND,7%在过去一年考虑过自杀,3%曾尝试过自杀.
- 进一步的分析将量化CPI-MIND并发症的流行率及其与自杀倾向的特定关联.
- 该研究将提供这些流行率的初步估计.
结论:
- 调查结果将为预防CPI-MIND并发症青年自杀的干预计划提供信息.
- 模拟自杀倾向的相关因素将提高对有针对性的预防有助于因素的理解.
- 了解服务使用模式对于解决访问和障碍至关重要,为预防自杀提供政策信息.
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