身体残疾人自杀行为相关因素:系统性审查
Suneel Kumar1, Swaran Lata1, Saroj Verma1
1Dept. of Psychology, Faculty of Social Sciences, Banaras Hindu University, Varanasi, Uttar Pradesh, India.
Indian journal of psychological medicine
|July 26, 2024
概括
身体残疾的人面临自杀行为的风险增加,原因是残疾状况和耻辱等因素. 了解这些因素对于制定有针对性的干预措施来支持这个脆弱的人群至关重要.
科学领域:
- 精神病学是一个精神病学.
- 公共卫生 公共卫生
- 康复医学 康复医学 康复医学
背景情况:
- 身体残疾带来独特的挑战,包括身体,社会,心理和经济问题.
- 身体残疾的人面临更高的自杀思想,行为和自杀死亡风险.
- 现有的文献强调了这一群体的严重心理健康负担.
研究的目的:
- 系统地审查经验研究,确定与身体残疾人自杀念头和自杀企图相关的因素.
- 综合当前关于这一人口群中自杀行为的心理和社会决定因素的证据.
主要方法:
- 在主要数据库 (PubMed,Cochrane,Web of Science等) 进行了系统的文献搜索. 从2000年1月开始到2023年1月.
- 与自杀念头,自杀企图和身体残疾相关的关键词和医学主题标题 (MeSH) 被全面利用.
- 纳入和排除标准应用于最初确定的236篇文章,最终选择了12项研究进行审查.
主要成果:
- 确定的主要相关因素包括残疾状况 (11/12研究),感知到的负担 (8/12研究) 和经历过的耻辱感 (4/12研究).
- 抑郁症状 (6/12项研究) 和孤独 (2/12项研究) 也是显著的因素.
- 在较少的研究中注意到缺乏社会和情感联系,长期残疾,先天性残疾和侵略性.
结论:
- 这些发现强调了身体残疾人的自杀行为风险增加.
- 基于证据的,低成本的干预措施对于解决这个弱势群体的特殊需求至关重要.
- 进一步的研究和有针对性的支持对于减轻身体残疾人的自杀风险至关重要.
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