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医疗保健职业,自杀和自杀企图:基于瑞典劳动人口的队列研究
Alicia Nevriana1, Emma Brulin1, Tomas Hemmingsson1,2
1Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden.
Acta psychiatrica Scandinavica
|July 20, 2025
概括
与非医疗保健专业人员相比,医疗保健工作者,特别是医生和护士等患者护理职务的人面临更高的自杀风险. 助理护士的自杀和自杀企图发生率最高.
科学领域:
- 公共卫生 公共卫生
- 职业健康 职业健康 职业健康
- 流行病学 流行病学
背景情况:
- 除了医生之外,医疗保健职业中关于自杀风险的研究有限.
- 医疗保健工作者中自杀企图的研究不足.
- 这项研究将各种医疗保健角色与非医疗保健角色之间的自杀和自杀企图风险进行比较.
研究的目的:
- 确定卫生保健工作者中自杀和自杀企图的比较风险.
- 根据职业资格水平分析这些风险.
- 确定具有高风险的特定医疗保健角色.
主要方法:
- 基于人口的队列研究,使用瑞典国家登记册.
- 从2005年到2020年,包括超过250万个人 (医疗保健和非医疗保健工作者).
- 自杀和第一次自杀未遂的调整危险比率 (aHR) 的估计.
主要成果:
- 医生 (aHR 1.57),注册护士 (aHR 1.61) 和助理护士 (aHR 1.25) 与非医疗保健同行相比,他们的自杀风险增加.
- 精神病医生在医生中风险最高 (aHR 2.70).
- 注册护士 (aHR 1.22) 和助理护士 (aHR 1.15) 的自杀企图风险更高. 助理护士在两个结局中都有最高的发病率.
结论:
- 几个医疗保健职业,特别是那些涉及直接患者护理的职业,具有更高的自杀风险.
- 这些发现表明,需要针对性的干预措施,以减轻高风险医疗保健群体的自杀行为.
- 助理护士和注册护士需要特别注意预防自杀企图.
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