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老年人的自杀行为并发症:系统性审查和元分析
Juliano Flávio Rubatino Rodrigues1, Lívia Peregrino Rodrigues2, Chittaranjan Behera3
1Faculdade de Medicina de São José do Rio Preto (FAMERP), São José do Rio Preto, São Paulo Brazil; Faculdade de Medicina de Marília (FAMEMA), Marília, São Paulo Brazil; Unimed Bauru, Bauru, São Paulo Brazil.
Psychiatry research
|November 21, 2025
概括
患有任何并发症的老年人面临自杀风险增加. 抑郁症显著增加了这种风险,突出了对老年人群有针对性的心理健康干预措施的需要.
科学领域:
- 老年学是指老年学的学科.
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 全球人口正在老龄化,与年龄相关的并发病的患病率也在增加.
- 了解与老年人自杀行为相关的并发症对于公共卫生至关重要.
- 自杀仍然是人口老龄化的一个重大问题,需要对促成因素进行研究.
研究的目的:
- 为了确定与老年人的自杀行为相关的并发症的患病率.
- 分析老年人特定的并发病和自杀行为之间的关联.
- 为老年人群中自杀预防策略提供证据.
主要方法:
- 根据PRISMA 2020声明进行系统审查.
- 在过去10年内发表的41项研究 (病例控制和队列) 的元分析.
- 从创立到2024年10月,搜索了三个数据库,评估了自杀行为与并发症的日志概率比率 (logOR).
主要成果:
- 这项审查包括了35,361,882名个人. 任何并发症都与0.803的logOR相关 (p < 0.001).
- 抑郁症是最常见的并发症,其logOR为1.16 (p < 0.001).
- 患有抑郁症的老年人自杀尝试的几率是3.19倍;那些患有任何并发症的人的几率是2.23倍.
结论:
- 抑郁症是老年人自杀行为的重要危险因素.
- 研究结果强调了应对抑郁症状在老年人自杀预防工作中的关键作用.
- 针对抑郁症的有针对性的干预措施对于降低老年人群中自杀率至关重要.
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