动脉瘤下结出血后的自杀风险:一项全国性的研究
Aleksanteri Asikainen1,2, Miikka Korja1, Jaakko Kaprio3
1Department of Neurosurgery, University of Helsinki and Helsinki University Hospital, Finland.
Neurology
|January 15, 2025
概括
与普通人群相比,肺动脉瘤下关节出血 (aSAH) 的幸存者面临的自杀风险明显更高. 这种高风险在年轻人中特别明显,在aSAH后的第一年内,突出了有针对性的心理支持的需要.
科学领域:
- 神经学 神经学
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 瘤下关节出血 (aSAH) 幸存者经常经历心理困扰,包括焦虑和抑郁.
- 有限的研究存在于aSAH幸存者中自杀风险.
研究的目的:
- 为了调查与一般人群相比,aSAH幸存者的自杀死亡风险.
- 为了确定特定的人口或时间因素与自杀风险增加后aSAH.
主要方法:
- 从1998年至2017年使用芬兰全国性登记 (医疗保健护理登记,死亡原因登记).
- 确定并跟踪≥15岁的aSAH幸存者 (住院后30天活着) 直到死亡或2018年底.
- 计算标准化死亡率 (SMRs),将aSAH幸存者的观察到的自杀率与一般人群预期的自杀率进行比较.
主要成果:
- 在随访期间确定了5708名aSAH幸存者,其中有19人自杀 (53,060人年).
- 观察到的自杀率为每10万人/年35.8,产生1.75的SMR (95%CI1.09-2.69).
- 自杀风险在15-39岁的人群中最高 (SMR=3.57) 和aSAH后的第一年 (SMR=3.64).
结论:
- aSAH幸存者表现出过度的自杀死亡风险.
- 年轻的幸存者和在aSAH后的第一年需要专注关注.
- 对这一群体来说,早期评估和心理困扰的管理至关重要.
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