脑震荡与青少年和年轻成年人自杀风险之间的关联
Jingzhen Yang1, Guy N Brock2, Danielle L Steelesmith3
1Center for Injury Research and Policy, Abigail Wexner Research Institute at Nationwide Children's Hospital, Columbus, Ohio.
American journal of preventive medicine
|September 25, 2025
概括
被诊断为脑震荡的年轻人面临的自杀风险明显高,与骨科伤害的年轻人相比. 随后的每一次脑震荡都会进一步增加这种风险,突出了针对性预防策略的必要性.
科学领域:
- 神经科学是一个神经科学.
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 关于脑震荡与青少年自杀风险之间的联系的数据有限.
- 这项研究通过检查脑震荡对俄俄州年轻人自杀的影响来解决这一问题.
研究的目的:
- 调查被诊断的脑震荡与青少年随后的自杀风险之间的关系.
- 为了确定随后的脑震荡是否进一步提高了这一群体的自杀风险.
主要方法:
- 使用俄俄州医疗补助申请和死亡证明数据 (2011-2020) 进行了回顾性纵向队列研究.
- 包括417,512名5-24岁的青少年,被诊断患有脑震荡或骨科损伤.
- 考克斯回归与治疗权重的逆概率分析了自杀死亡的时间.
主要成果:
- 患有脑震荡的年轻人自杀风险比患有骨科损伤的年轻人高出65% (HR=1.65).
- 五年风险差异为每10万人增加34例自杀.
- 在随访期间每次额外的脑震荡都会使自杀风险增加52% (HR=1.52).
结论:
- 脑震荡与年轻人自杀风险增加有显著的关联.
- 随后的脑震荡会放大自杀风险的增加.
- 建议针对脑震荡的年轻人进行有针对性的自杀预防.
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