从2003年到2021年,在23个国家的青少年中,自杀想法的时间趋势和模式
Wonwoo Jang1,2, Yejun Son1,3, Jae E Lee1,2
1Center for Digital Health, Medical Science Research Institute, Kyung Hee University College of Medicine, Seoul, South Korea.
Scientific reports
|October 8, 2025
概括
青少年自杀念头的趋势在全球范围内有所不同,一些国家出现增加,而另一些国家出现下降. 与男孩相比,几个国家的女孩在自杀想法中经历了更不利的变化.
科学领域:
- 全球公共卫生 全球公共卫生
- 青少年心理健康 青少年心理健康
- 流行病学 流行病学
背景情况:
- 自杀念头是一个关键的青少年健康问题.
- 以前的研究经常使用有限的,单一时间点或单一国家数据.
- 了解全球时间趋势对于有效干预至关重要.
研究的目的:
- 调查23个不同国家的青少年自杀念头的时间趋势.
- 确定患病率大幅上升或下降的特定国家.
- 检查这些趋势中的性别特异性差异.
主要方法:
- 全球基于学校的学生健康调查数据 (2003-2021) 对185,941名青少年 (13-15岁) 的分析.
- 用于计算流行率的年平均百分比变化 (AAPC) 的加权日志线性回归.
- 线性和二次性匹配的比较,以确定近线性模式;对男孩和女孩进行单独的分析.
主要成果:
- 在6个国家观察到自杀念头的显著上升趋势,包括缅甸 (32.04%/年) 和圭亚那 (8.88%/年).
- 五个国家出现了显著的下降趋势,如贝宁 (-8.60%/年) 和科威特 (-6.40%/年).
- 六个国家的性别差异显著,五个国家的女孩表现出更不利的趋势,特别是圣文森特和格林纳丁群岛和泰国.
结论:
- 青少年自杀念头在不同国家表现出不同的时间趋势.
- 趋势中显著的性别差异需要性别敏感的心理健康策略.
- 持续的全球监测和量身定制的,特定于环境的干预措施至关重要.
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