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社区态度对韩国自杀死亡率的影响:全国生态研究
Minseok Hong1, Hyesoo Kim1, C Hyung Keun Park2
1Department of Psychiatry, Seoul National University College of Medicine, Seoul, Republic of Korea.
Frontiers in psychiatry
|October 1, 2024
概括
社区对自杀的态度,特别是"宽容",与韩国较低的自杀率有关. 这与个人层面的发现形成鲜明对比,表明社区规范在自杀预防策略中发挥着独特的作用.
科学领域:
- 社会学 社会学 社会学
- 公共卫生 公共卫生
- 心理学 心理学 心理学
背景情况:
- 自杀受到社会文化因素的影响,使社区的态度对预防至关重要.
- 虽然研究了个人态度和自杀行为,但区域社区态度对自杀死亡率的影响尚不清楚.
研究的目的:
- 调查社区对自杀的态度与区域自杀死亡率之间的关联.
- 探索社区态度的不同维度 (宽容,不合理的行为,准备帮助/可预防性) 与自杀率的关系.
主要方法:
- 利用了2018年韩国全国自杀调查 (N=1500) 和死亡记录的数据.
- 采用了确认因素分析来确定态度维度和区域级生态分析的负二项式模型 (30个单位).
- 根据性别和年龄组进行了分层分析.
主要成果:
- 较高的社区自杀"宽容"与较低的区域自杀率相反相关 (P < 0.001),即使经过调整社会人口统计数据.
- 这种反向关联在男性和60岁以下的个人中显著.
- "不合理的行为"和"准备帮助/可预防性"与自杀率没有显著的关联.
结论:
- 社区的态度,特别是宽容,可能与自杀率有相反的关系,与个人水平的发现形成对比.
- 态度可能在社区和个人层面上有不同的功能,突出了它们作为自杀的上下文因素的作用.
- 研究结果表明,针对社区规范的新型自杀预防策略可能存在潜力.
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