睡眠障碍和自杀企图在住院治疗后出院后发生
Todd M Bishop1,2,3, Westley A Youngren1, John S Klein1
1VA Center of Excellence for Suicide Prevention, Finger Lakes Healthcare System, Canandaigua, NY, United States.
概括
患有睡眠障碍,特别是呼吸障碍的退伍军人在治疗后面临自杀企图的风险更高. 早期查和治疗睡眠问题可以帮助降低高风险退伍军人的自杀风险.
科学领域:
- 公共卫生 公共卫生
- 临床心理学 临床心理学
- 睡眠医学 睡眠医学
背景情况:
- 自杀是一个主要的公共卫生问题,特别是对于退伍军人在关怀层次之间过渡的退伍军人.
- 睡眠障碍在退伍军人中很常见,并且与自杀风险有关.
- 识别睡眠障碍等可修改的风险因素对于预防自杀至关重要.
研究的目的:
- 为了检查睡眠障碍与退伍军人自杀企图的时间之间的联系.
- 为了确定特定的睡眠障碍,增加自杀企图的风险,从精神卫生项目出院后.
主要方法:
- 这项研究分析了1489名退伍军人的电子健康记录,这些退伍军人在退役后180天内尝试自杀.
- 考克斯回归模型被用来评估睡眠障碍与自杀未遂的时间之间的关系.
主要成果:
- 任何睡眠障碍的退伍军人自杀尝试的时间更短 (HR=1.16).
- 与睡眠相关的呼吸障碍 (HR=1.19),酒精依赖 (HR=1.16) 和年龄与增加自杀企图风险显著相关.
结论:
- 睡眠障碍,特别是呼吸障碍,与高风险退伍军人的自杀尝试风险增加有关.
- 查和治疗睡眠障碍为减少这一群体自杀风险提供了机会.
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