美国印第安人和阿拉斯加原住民退伍军人中按年龄和时间的自杀率
Lisa A Brenner1, Christin N Miller, Alexandra L Schneider
1Veterans Affairs Rocky Mountain Mental Illness Research Education and Clinical Center, University of Colorado, Anschutz Medical Campus (CU-AMC).
Medical care
|November 8, 2024
概括
美国印第安人和阿拉斯加原住民退伍军人中自杀率在2005-2020年间因年龄组而异. 较年轻的原住民退伍军人 (18-34岁) 最初的比例最高,但窒息在所有年龄组中都成为一种重要的方法.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 军人卫生保健 军人卫生保健
背景情况:
- 最近的研究表明,美国印第安人和阿拉斯加土著 (AI/AN) 服务人员的自杀率较高.
- 对这个人口群体随着时间的推移而出现的特定年龄的自杀趋势的详细分析一直缺乏.
研究的目的:
- 从2005年到2020年,全面评估原住民退伍军人中特定年龄的自杀率.
- 为了确定这一群体中各个年龄段自杀方法的趋势和差异.
主要方法:
- 进行了以人口为基础的回顾性队列研究.
- 分析了207,955名原住民退伍军人的数据 (截至2005年1月1日活着,截至2020年12月31日分离).
- 自杀是使用国家死亡指数 2005-2020 期间的代码来确定的.
主要成果:
- 年平均自杀率在16.32/100,000 (55岁以上) 到64.49/100,000 (18-34岁) 之间.
- 18-34岁的年龄组在2005-2018年期间表现出最高的比例,在2019-2020年显著下降.
- 枪支是最常见的方法,但窒息在所有年龄段普遍存在,特别是在年轻和中年老兵中.
结论:
- 随着时间的推移,自杀率和自杀方法在原住民退伍军人年龄组之间存在显著差异.
- 文化和年龄相适应的干预措施对于减少这一群体中自杀死亡至关重要.
- 需要进一步的研究来确定风险因素和有效的预防策略.
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