性别认同障碍的记录诊断与自杀死亡率有很强的关联
Geoffrey D Kahn1, Elizabeth Lockhart1, Gregory E Simon2
1Center for Health Policy & Health Services Research, Henry Ford Health, Detroit, Michigan, USA.
Transgender health
|October 25, 2024
概括
被诊断为性别认同障碍 (GID) 的患者面临明显更高的自杀风险. 这一发现强调了针对GID患者在医疗机构进行有针对性的心理健康查和干预的必要性.
科学领域:
- 精神病学是一个精神病学.
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 性别认同障碍 (GID) 是一种与严重痛苦相关的诊断.
- 以前的研究表明,GID与自杀风险增加之间存在潜在联系,但数据需要进一步澄清.
研究的目的:
- 调查性别认同障碍 (GID) 诊断与自杀风险之间的关联.
- 将GID患者的自杀风险与其他精神疾病诊断的患者的自杀风险进行比较.
主要方法:
- 在2000年至2015年期间,美国9个医疗保健系统的300364名患者的数据进行了回顾性病例控制研究.
- 统计分析包括计算GID和自杀的几率比率,根据年龄,性别和并发性精神病诊断进行调整.
主要成果:
- 在调整年龄和性别后,GID诊断与自杀率增加18.6倍有关.
- 即使在考虑并发性精神疾病后,GID的几率比仍然显著增加,为4.75.
- 对GID进行调整后的自杀风险高于抑郁症,酒精使用,双相情感和精神病障碍.
结论:
- 这项研究提供了强有力的证据,支持在被诊断为GID的个人中大幅增加自杀风险.
- 调查结果强调了积极的自杀风险查和在医疗保健系统内为GID患者量身定制的干预措施的急需.
- 这些结果强调了解决性别多样化的人口心理健康需求的重要性.
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