性别和年龄特异性自杀风险指标的模式:一个群体内嵌的病例控制研究
Fred Johansson1, Lisa Gunnarsson2,3, Leoni Grossmann2
1Centre for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institutet, & Stockholm Health Care Services, Region Stockholm, Stockholm, Sweden fredrik.johansson@ki.se.
BMJ mental health
|October 28, 2025
概括
自杀风险指标在男性和老年人中较少,较弱,因此更难预测. 然而,男性有危险因素的绝对自杀风险更高,突出了预防的需要.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 精神病学是一个精神病学.
背景情况:
- 自杀率在男性和老年人中更高.
- 了解特定于性别和年龄的自杀风险指标仍然有限.
研究的目的:
- 为了确定25个自杀风险指标在死亡前一年的性别和年龄特定的患病率.
- 估计这些指标与自杀风险的关联.
主要方法:
- 在瑞典 (2009-2021年) 进行的一项人口嵌套病例控制研究.
- 包括19,741例自杀案和197,296例对照,根据性别,年龄和地区进行匹配.
- 利用全国性的登记册来收集有关精神病史,体质疾病,丧亲和社会人口统计因素的数据.
主要成果:
- 大多数风险指标在男性和65岁以上的个体中不太普遍.
- 风险指标与自杀之间的关联在男性和老年人中通常较弱.
- 自杀的中位数几率 (OR) 在男性中为10.3%,在女性中为14.6%,在65岁以上的人群中为8.0,在24至44岁的人群中为17.4.
结论:
- 自杀风险指标的流行率和跨性别和年龄组的关联存在显著的异质性.
- 男性和有风险指标的老年人具有更高的绝对自杀风险,需要有针对性的预防.
- 个性化自杀预测和预防策略必须考虑性别和年龄特定的因素.
关键词:
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