没有警告的自杀:来自陆军评估服务人员风险和弹性研究 (STARRS) 的结果
Catherine L Dempsey1,2, Jingning Ao1,2, Matthew W Georg1,2
1Center for the Study of Traumatic Stress, Department of Psychiatry, Uniformed Services University of the Health Sciences, Bethesda, MD.
最近的关系问题和较小的社交网络是美国陆军士兵自杀的关键风险因素. 识别这些问题可以帮助服务人员预防自杀.
科学领域:
- 精神病学是一个精神病学.
- 军人卫生保健 军人卫生保健
- 流行病学 流行病学
背景情况:
- 自2011年以来,美国陆军的自杀率有所上升,这令人担忧.
- 了解风险和保护因素对于减轻服务人员自杀死亡的风险至关重要.
研究的目的:
- 确定美国陆军人员自杀死亡的重大风险因素.
- 为军事人员的自杀预防策略提供信息.
主要方法:
- 一项病例控制心理解剖研究比较了135例美国陆军自杀死亡病例和255名活着的服务人员对照.
- 采访中采访了亲属和主管的告密者.
- 多变量后勤回归模型被用来识别自杀死亡的重要预测因素.
主要成果:
- 最近的分手 (OR = 28.5),较小的社交网络 (OR = 4.2),不愿寻求心理健康咨询 (OR = 3.4),和不小心的行为 (OR = 3.8) 是自杀的重要预测因素.
- 预测模型表现出强大的准确性,AUC为0.88.8.
结论:
- 最近的关系问题和有限的社会支持可能成为迫在眉的自杀风险的关键警告信号.
- 这些因素对于早期检测和干预很重要,即使没有公开的自杀念头或精神健康障碍.
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