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血压及其对自杀死亡率的影响及其变异性:一项全国性基于人口的研究

Jeongmin Lee¹, Jeongeun Kwak¹, Jin-Hyung Jung²

¹Division of Endocrinology and Metabolism, Department of Internal Medicine, Eunpyeong St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.

Hypertension research : official journal of the Japanese Society of Hypertension

|June 3, 2025

概括

血压升高 (BP) 和血压变化 (BPV) 与自杀风险增加有关. 监测BP和BPV可能有助于识别自杀死亡风险较高的个体.

科学领域:

心血管健康心血管健康
心理健康研究心理健康研究
流行病学流行病学

背景情况:

血压 (BP) 和心理障碍之间存在已确定的联系.
血压变化 (BPV) 与自杀风险之间的关系需要进一步调查.

研究的目的:

为了检查BP,BPV和自杀死亡率之间的关联,在一个大型的国家队列.
为了确定BP和BPV是否是自杀的独立风险因素.

主要方法:

韩国国家医疗保险服务 (2005-2009) 的1,983,107名参与者的回顾性队列研究.
使用来自多次健康检查的验证指数 (VIM,ASV,CV) 评估BPV.
考克斯比例危险模型用于分析BPV四分位数中与自杀相关的死亡风险.

主要成果:

高血压和高血压显著增加了自杀风险.
系统性BPV (VIM) 与HR1.13相关的最高四分位数;直径BPV (VIM) 与HR1.16.
在老年人 (≥65岁) 中,相关性更强,并且在不同的BPV指数和子组中一致.

结论:

血压和BPV都是自杀死亡率的新风险因素.
对BP和BPV的综合评估可以改善对自杀风险较高的个体的识别.

关键词:

血压血压血压血压完成完成完成完成心理健康心理健康自杀自杀的自杀是自杀的自杀.

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