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耳成年人的自杀想法和行为:系统性审查和元分析
Lauren R McCray1,2, Megan K Scharner1, Shaun A Nguyen1
1Department of Otolaryngology-Head and Neck Surgery, Medical University of South Carolina, Charleston, South Carolina, USA.
The Laryngoscope
|March 11, 2025
概括
耳显著增加了自杀念头和自杀企图的风险. 近20%的耳患者有自杀想法,这凸显了在听力学护理中需要提高心理健康意识的必要性.
科学领域:
- 听力学和心理健康
- 公共卫生研究 公共卫生研究
背景情况:
- 耳,一个普遍的听力状况,通常与心理困扰有关.
- 了解 tinnitus 和自杀倾向之间的联系对于患者的护理和干预至关重要.
研究的目的:
- 系统地审查和元分析 tinnitus 和自杀倾向之间的关系,包括自杀想法和自杀企图.
- 量化与普通人群相比,与耳有关的人群中自杀倾向的风险增加.
主要方法:
- 在主要数据库 (CINAHL,Cochrane图书馆,PubMed,PsycINFO,SCOPUS) 进行了全面的文献搜索.
- 包括成人 (≥18岁) 的观察性研究,有耳和自杀倾向的结果.
- 使用随机效应的元分析来综合有关流行率和风险比率的数据.
主要成果:
- 分析了9项涉及超过912,000名参与者的研究.
- 与对照组相比,声患者的自杀念头 (19.5%) 和自杀企图 (1.9%) 的患病率明显高.
- 自杀念头 (RR=2.1) 和自杀企图 (RR=1.8) 的风险在耳组显著增加.
结论:
- 相当一部分有着耳的人会有自杀的想法和尝试.
- 耳鼻喉科医生和医疗保健提供者应主动查 tinnitus 患者的自杀倾向.
- 早期识别和干预对于管理与耳相关的心理健康风险至关重要.
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