在多次自杀企图中死亡率的进展:系统性审查
概括
这次审查没有发现任何证据表明,重复自杀企图增加了死亡率. 然而,有限而多样化的证据基础需要谨慎地解释这项关于自杀行为的发现.
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:
- 自杀是一个重要的全球公共卫生问题.
- 了解自杀行为轨迹,特别是在多次尝试的个体中,需要进一步调查.
- 自杀行为的危险因素越来越被理解,但具体的问题仍未得到充分探索.
研究的目的:
- 系统地审查有关自杀行为的纵向过程的现有文献.
- 为了调查自杀企图的死亡率是否在多个情节中增加.
- 为了综合证据,重复自杀企图的致命性.
主要方法:
- 按照PRISMA 2020指南进行系统审查.
- 在MEDLINE,Embase和PsycINFO数据库中进行全面的文献搜索 (开始至2023年8月).
- 包括纵向研究报告多次自杀企图及其致死率,使用叙事合成进行数据总结.
主要成果:
- 在选了828个独特摘要后,包括了11项研究.
- 报告指出,自杀企图评估和死亡率定义的异质性,往往依赖于使用方法的间接推断.
- 重复尝试的个体可能会表现出使用相同方法的倾向.
结论:
- 没有发现证据支持在重复自杀企图中死亡率的增加.
- 现有证据库的特点是稀缺性,异质性和方法学限制.
- 由于当前研究的局限性,研究结果应谨慎解释.
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