自杀行为个体中精神和体质并发症的负担:基于丹麦全国登记的观察性研究
Mette Reilev1,2,3, Jens-Jakob Kjer Møller4, Elsebeth Stenager3
1Centre for Suicide Research, Odense, Denmark.
概括
精神病和体质并发症的综合负担显著增加了自杀行为风险. 然而,体质疾病可能会在老年人中提供预防自杀的保护作用,这凸显了跨部门意识的需要.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 精神病学是一个精神病学.
背景情况:
- 自杀行为与精神病和体质并发症有关.
- 同时存在的并发症对自杀行为风险的影响尚未得到充分理解.
研究的目的:
- 描述精神病和体质并发症的共存.
- 调查联合并发症负担对自杀行为风险的影响.
主要方法:
- 使用了丹麦的健康登记册,针对10岁以上的个人.
- 自杀死亡 (2010-2020年) 和自杀企图 (2010-2021年) 的确定的病例人群.
- 评估了同时存在的并发症及其与自杀行为风险的关联.
主要成果:
- 超过一半的自杀行为个体有≥2种并发症.
- 最高的并发症负担显示,自杀未遂的可能性增加了88倍,自杀的可能性增加了35倍.
- 身体并发症似乎可以保护老年人免受自杀的伤害.
结论:
- 同时存在的精神病和体质并发症在自杀行为中很常见.
- 增加并发症负担会增加自杀行为风险.
- 身体疾病可能对老年人自杀风险产生保护作用,需要跨学科的意识.
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