隐藏的代价:在冠状病毒疾病-19时代,自杀企图的人口变化
Dylan Hunter1, Jeffry Nahmias1, Negaar Aryan1
1Division of Trauma, Burns, and Surgical Critical Care, Department of Surgery, University of California, Irvine, Orange, California.
The Journal of surgical research
|July 25, 2025
概括
虽然COVID-19大流行并没有增加整体自杀企图,但它改变了人口统计数据. 在疫情后,黑人,西班牙裔,年轻人和精神疾病创伤患者的自杀企图增加.
科学领域:
- 创伤外科 手术 创伤外科
- 公共卫生 公共卫生
- 心理健康研究 心理健康研究
背景情况:
- 由于社会隔离和经济因素,COVID-19大流行严重影响了心理健康.
- 之前的研究将流行病与增加的故意透创伤联系起来,但自我伤害仍然未得到充分研究.
- 这项研究调查了大流行对创伤患者自杀企图的影响.
研究的目的:
- 为了确定国家自杀未遂率是否在COVID-19后增加,与大流行前的年相比.
- 分析在疫情期间试图自杀的创伤患者的人口变化.
- 为了确定在COVID-19时代因自杀企图而受到不成比例影响的特定人群.
主要方法:
- 利用创伤质量改善计划数据库,比较流行病前 (2017-2019) 和流行病 (2020-2022) 数据.
- 进行了两种类型的分析,以评估自杀企图率和患者人口统计数据的变化.
- 研究了两个时期之间的受伤特征,人口因素和死亡率.
主要成果:
- 在创伤患者中,自杀企图的发生率在疫情期间略有下降 (1.3%),而在疫情前 (1.4%).
- 人口分析显示,在疫情期间,黑人,西班牙裔,年轻人 (20-39岁) 和患有心理健康障碍的人群中,自杀企图显著增加.
- 在大流行前和大流行后的队列中,受伤严重程度得分和死亡率仍然相似.
结论:
- 虽然COVID-19大流行并没有增加创伤患者自杀企图的总体率,但它显著改变了受影响的人口统计数据.
- 少数群体,年轻人,以及那些有先前存在的心理健康状况的人群中,自杀企图的数量显著增加.
- 这些发现强调了大流行病对心理健康的间接影响,并强调了在压力时期迫切需要针对弱势群体制定有针对性的自杀预防策略.
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