退伍军人面临高风险的后COVID-19自杀企图或其他自我指导的暴力行为
David P Bui1, Meike Niederhausen1,2, Alex W Hickok1
1Center to Improve Veteran Involvement in Care, VA Portland Health Care System, Portland, Oregon.
JAMA network open
|March 4, 2025
概括
患有COVID-19的美国退伍军人面临着更高的自杀风险. 两个不同的小组,一个年长的身体状况和一个年轻的心理健康问题,显示特别高的自杀企图或自导暴力 (SDV) 后感染率.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 心理健康研究 心理健康研究
背景情况:
- 美国退伍军人自杀率高于普通人群.
- COVID-19感染与退伍军人中自杀企图和自我指导暴力 (SDV) 的风险增加有关.
研究的目的:
- 确定在COVID-19感染后面面临自杀企图或SDV高风险的退伍军人的特定子组.
- 了解与退伍军人群体中COVID-19后自杀风险增加相关的不同健康状况.
主要方法:
- 使用退伍军人卫生管理局 (VHA) 数据进行的回顾性队列研究.
- 在2021年5月至2022年4月期间被诊断为COVID-19的VHA入学者的分析.
- 隐性类别分析以确定风险子组;多名式回归以建模结果风险.
主要成果:
- 该研究包括285,235名COVID-19的退伍军人,这些退伍军人患有包括慢性疼痛,抑郁症和PTSD在内的常见疾病.
- 确定了两组自杀企图/SDV的高风险子组:一个年龄较大的组 (≥65岁) 患有普遍的身体状况,一个年轻的组 (<65岁) 患有高度的心理健康状况.
- 与风险最低的子组相比,年轻的精神疾病子组显示自杀企图/SDV风险显著增加 (14倍以上).
结论:
- 确定了两个不同的退伍军人子组,在COVID-19后自杀企图/SDV率较高,其特点是不同的健康状况.
- 这些发现表明,在COVID-19之后,针对不同退伍军人子组进行定制的自杀预防策略是必要的.
- 了解这些独特的个人资料对于有针对性的干预和改善退伍军人的心理健康支持至关重要.
相关概念视频
Long-term Depression
Long-term depression, or LTD, is one of the ways by which synaptic plasticity—changes in the strength of chemical synapses—can occur in the brain. LTD is the process of synaptic weakening that occurs over time between pre and postsynaptic neuronal connections. The synaptic weakening of LTD works in opposition to synaptic strengthening by long-term potentiation (LTP) and together are the main mechanisms that underlie learning and memory.
Long-term Depression
Long-term depression, or LTD, is one of the ways by which synaptic plasticity—changes in the strength of chemical synapses—can occur in the brain. LTD is the process of synaptic weakening that occurs over time between pre and postsynaptic neuronal connections. The synaptic weakening of LTD works in opposition to synaptic strengthening by long-term potentiation (LTP) and together are the main mechanisms that underlie learning and memory.
Calcium Ion Concentration Mechanism
If over time, all...
Calcium Ion Concentration Mechanism
If over time, all...
Depression: Overview
Depression is a prevalent mental illness marked by persistent sadness and lack of interest in previously enjoyable activities. It can take several forms, including major depression, persistent depressive disorder, and bipolar I and II disorders. Symptoms range from emotional changes like chronic worry to physical changes like sleep disturbances and suicidal thoughts. From a neurobiological perspective, depression is believed to be triggered by abnormalities in the brain's prefrontal cortex,...
Pulmonary Tuberculosis I
Tuberculosis, often called TB, is a contagious illness primarily caused by Mycobacterium tuberculosis. It mainly affects the lung parenchyma but can also impact other body parts.
Causative Organism
The primary infectious agent causing tuberculosis is Mycobacterium tuberculosis, a slow-growing, acid-fast, aerobic rod that exhibits sensitivity to heat and ultraviolet light. Instances of Mycobacterium bovis and Mycobacterium avium contributing to the development of TB infection are rare.
Mode of...
Causative Organism
The primary infectious agent causing tuberculosis is Mycobacterium tuberculosis, a slow-growing, acid-fast, aerobic rod that exhibits sensitivity to heat and ultraviolet light. Instances of Mycobacterium bovis and Mycobacterium avium contributing to the development of TB infection are rare.
Mode of...
Acute Coronary Syndrome IV: Interprofessional Care
IntroductionThe management of Acute Coronary Syndrome (ACS) aims to minimize myocardial damage, preserve myocardial function, and prevent complications.Initial ManagementInpatient management involves continuous cardiac monitoring, preferably in an ICU, focusing on blood pressure, serum sodium, potassium, and creatinine levels, and urine output. Ongoing pharmacologic management is crucial for stabilizing the patient.Supplemental Oxygen: Administer supplemental oxygen if oxygen saturation is...
Post-traumatic Stress Disorder
Post-traumatic stress disorder (PTSD) is a psychiatric condition that arises following exposure to traumatic events such as natural disasters, forced displacement, or severe accidents. It significantly impairs individuals' ability to cope with daily activities and disrupts their emotional and psychological equilibrium.
Symptoms and Behavioral Manifestations
A spectrum of distressing symptoms characterizes PTSD. Recurrent flashbacks, where individuals involuntarily relive traumatic events, are a...
Symptoms and Behavioral Manifestations
A spectrum of distressing symptoms characterizes PTSD. Recurrent flashbacks, where individuals involuntarily relive traumatic events, are a...


