自杀倾向和死亡风险的历史:全国范围的队列研究
Kyujoon Kwon1, Hyunsuk Jeong2, Hyeon Woo Yim2
1Department of Public Health, Graduate School, The Catholic University of Korea, Seoul, Republic of Korea.
Journal of affective disorders
|October 16, 2025
概括
自杀倾向史显著增加了韩国成年人自杀,外部和内在死亡的风险. 早期识别和干预对于预防自杀的努力至关重要.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 死亡率研究 死亡率研究
背景情况:
- 自杀是已知的死亡风险因素,但长期一般人口数据有限.
- 这项研究调查了韩国自杀倾向与各种死亡类型之间的联系.
研究的目的:
- 评估自杀倾向史与自杀,外部和内在死亡率之间的关联.
- 为公共卫生政策和预防自杀策略提供信息.
主要方法:
- 一项使用韩国国家健康和营养检查调查 (KNHANES) 数据 (2007-2018) 的队列研究.
- 将KNHANES数据与62,631名成年人的国家死亡原因记录 (2007-2022) 联系起来.
- 使用卡普兰-梅尔曲线和多变量考克斯回归分析了结果.
主要成果:
- 10.8%的参与者报告自杀倾向.
- 自杀倾向与自杀风险增加有关 (HR 2.8),外部原因 (HR 1.8) 和内在死亡率 (HR 1.3).
- 自杀计划或企图显示的风险高于单独的想法;经过修订的调查问题改善了自杀死亡率的预测有效性.
结论:
- 自杀倾向是增加自杀,外部和内在死亡率的重要预测因素.
- 在国家调查中报告自杀倾向的个人需要有针对性的预防干预措施.
- 国家政策应支持基于证据的自杀预防计划.
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