根据年龄和性别对自伤后自杀风险的效果修改:来自英格兰的基于人口的全国代表性研究2001-2019年
概括
伤害自我的人面临着显著增加的自杀风险,特别是在第一个月内和反复发生的自我伤害事件. 这种风险在女性和老年人中更高,为有针对性的干预提供了信息.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 心理健康研究 心理健康研究
背景情况:
- 自伤是自杀风险的一个关键指标.
- 了解个人自伤后存在的医疗保健环境对于干预至关重要.
研究的目的:
- 在不同的医疗保健机构中量化自我伤害后的自杀风险.
- 为了确定自伤事件后与自杀相关的危险因素.
主要方法:
- 一个匹配的病例控制研究,使用英语电子健康记录和死亡记录 (2001-2019).
- 涉及一个大型队列 (N=594,674) 将自杀病例与对照进行比较.
- 分析了来自初级和二级保健机构的数据.
主要成果:
- 与对照组相比,在初级保健 (OR 83) 和二级保健 (OR 124) 中自伤后,一年的自杀风险显著更高.
- 自杀风险在自伤后的第一个月内达到顶峰 (初级护理或310,二级护理或458).
- 风险增加了多次自我伤害入院 (≥3次尝试:OR 505),女性和老年人更高.
结论:
- 自伤自杀后的一年相对自杀风险在初级和二级护理中特别高.
- 研究结果表明,老年人和自我伤害的女性可能需要特定的风险分层策略.
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