在30个欧洲国家,人均酒精消费与自杀死亡率之间存在关联
Katherine Guo1,2, Huan Jiang3, Kevin David Shield4,3
1Institute for Mental Health Policy Research, Centre for Addiction and Mental Health, Toronto, Ontario, Canada kat.guo@mail.utoronto.ca.
BMJ mental health
|December 25, 2025
概括
人均酒精消费量 (APC) 的增加与欧洲自杀率的增加有关. 公共卫生战略应监测APC以减少与酒精有关的自杀.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 成研究 研究成研究
背景情况:
- 自杀仍然是欧洲的一个关键的公共卫生问题,在2021年导致86,000人死亡.
- 酒精使用是已知的自杀风险因素,使其成为预防的潜在目标.
- 目前关于人均酒精消费 (APC) 对预防自杀的有用性的证据有限.
研究的目的:
- 调查30个欧洲国家的APC与自杀死亡率之间的关联.
- 评估APC作为自杀预防工作的指标的作用.
主要方法:
- 利用来自30个欧洲国家的健康指标和评估研究所的自杀死亡率数据 (1991-2021年).
- 采用线性混合效应模型来分析APC (来自世卫组织全球酒精和健康信息系统) 和自杀率之间的关系.
- 检查了与性,饮酒模式和2008年经济衰退的潜在相互作用,并调整了混因素.
主要成果:
- 总APC增加1升与男性自杀死亡率上升0.39% (p=0.03) 和女性自杀死亡率上升0.59% (p=0.01) 显著相关.
- 没有观察到任何显著的性别差异或饮酒模式或2008年经济衰退的修改效应.
- 这些发现表明,增加的酒精消费和更高的自杀率之间存在直接的相关性.
结论:
- APC是监测旨在减少酒精使用及其对自杀率影响的干预措施的有价值指标.
- 国家自杀预防战略应整合APC监测,以提高有效性.
- 进一步的研究可以探索APC在不同人群和政策环境中的细微差别.
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