在被诊断为头痛的人群中,尝试和完成自杀的风险
Holly Elser1,2,3, Dóra Körmendiné Farkas1, Cecilia Hvitfeldt Fuglsang1
1Department of Clinical Epidemiology, Aarhus University and Aarhus University Hospital, Aarhus, Denmark.
JAMA neurology
|February 3, 2025
概括
被诊断患有任何头痛障碍的人面临着自杀未遂和完成自杀的风险增加. 这一发现强调了对头痛患者进行心理健康评估的必要性.
科学领域:
- 神经学 神经学
- 精神病学是一个精神病学.
- 流行病学 流行病学
背景情况:
- 过去的研究表明,偏头痛和自杀企图之间存在联系.
- 关于各种头痛疾病中自杀风险的数据有限.
研究的目的:
- 调查被诊断患有偏头痛,紧张型头痛,创伤后头痛和三角形自主脑痛 (TACs) 的人自杀未遂和完成自杀的风险.
主要方法:
- 在丹麦 (1995-2020年) 进行的一项以人口为基础的队列研究包括119,486名头痛诊断的个人,与597,430名对照人匹配.
- 疾病与相关健康问题的国际统计分类,第十次修订 (ICD-10) 代码确定了头痛诊断和自杀企图/完成.
- 计算了绝对风险和危险比率,并根据共变量进行调整.
主要成果:
- 自杀未遂的15年风险在头痛队列中为0.78%,对照组为0.33%.
- 完成自杀的15年风险在头痛队列中为0.21%,对照组为0.15%.
- 头痛诊断与自杀未遂 (HR=2.04) 和完成自杀 (HR=1.40) 的风险增加有关,对 TAC 和创伤后头痛有更强的联系.
结论:
- 头痛诊断显示,与自杀企图和完成的风险增加有着显著和持久的关联.
- 这些发现强调了行为健康评估和干预对患有头痛疾病的个体的重要性.
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