埃塞俄比亚2024年囚犯中的自杀念头,自杀企图和决定因素:系统审查和元分析
Bereket Aberham Lajore1, Sisay Moges2, Dinku Daniel Kabiye3
1Department of Family Health and Health Extension, Hossana College of Health Science, Hosanna, Ethiopia. bereketema41@gmail.com.
BMC psychiatry
|April 28, 2025
概括
在埃塞俄比亚,自杀念头影响23.28%,自杀企图影响10.20%的囚犯. 心理健康支持和减少边缘化对于预防至关重要.
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:
- 由于自由受到限制和社会隔离,囚犯经历了重大的心理健康挑战.
- 与普通公众相比,监狱人口中自杀率不成比例地高.
- 现有的有关监狱自杀的数据往往不足,需要有针对性的预防策略.
研究的目的:
- 综合评估和汇集埃塞俄比亚囚犯中自杀念头和自杀企图的流行情况.
- 在这个人群中确定影响自杀思想和企图的因素的影响大小.
- 为政策提供信息,并改善弱势囚犯的医疗服务.
主要方法:
- 在多个数据库 (PubMed,CINAHL,Embase,Web of Science等) 中进行系统搜索. 进行了.进行了.
- 在独立选择和质量评估后,纳入了2015年至2024年期间发表的9项观察性研究,涉及4435名囚犯.
- 使用随机效应模型进行了元分析来合成数据.
主要成果:
- 自杀念头的综合流行率为23.28% (95%CI:12.26%,34.29%),自杀企图的流行率为10.20% (95%CI:8.63%,11.78%).
- 重要决定因素包括抑郁症,社会支持不足,自杀行为史和以前的精神疾病.
- 对于自杀念头 (I2=98.74%) 和自杀企图 (I2=73.05%),观察到很高的统计异质性. 对于自杀念头研究,发现了出版偏见.
结论:
- 在埃塞俄比亚囚犯中,自杀念头和自杀企图的流行率很高.
- 抑郁症,社会支持不足,精神疾病和家庭自杀史是显著的危险因素.
- 建议整合心理健康服务,包括例行查,并打击囚犯边缘化.
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