使用精神卫生服务的人群中暴力暴露与一般和因特定死亡率之间的关联:队列研究
Nabihah Rafi1, Robert Stewart1,2, Amelia Jewell2
1King's Women's Mental Health, The David Goldberg Centre for Health Services and Population Research, https://ror.org/0220mzb33Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.
BJPsych open
|January 12, 2026
概括
暴露于暴力的精神疾病患者面临的死亡率要高得多. 这种暴力暴露与自然和外部原因死亡人数的增加有关,这突显了严重的公共卫生问题.
科学领域:
- 公共卫生 公共卫生
- 心理健康研究 心理健康研究
- 流行病学 流行病学
背景情况:
- 精神疾病和死亡率之间确立的联系.
- 暴力暴露对精神疾病患者死亡率的贡献研究不足.
研究的目的:
- 调查暴力暴露 (如身体攻击) 与一般/特定原因死亡率之间的关联.
- 专注于使用心理健康服务的人口.
主要方法:
- 使用伦敦东南部精神卫生提供者的电子健康记录进行的队列研究.
- 将健康记录与国家死亡率数据和死亡证明联系起来.
- 采用考克斯回归模型来分析暴力暴露和死亡率之间的关联,调整混因素.
主要成果:
- 进攻入院显著增加了所有原因的死亡率 (HR 2.14).
- 暴露于暴力与因内部 (HR1.72),外部 (HR1.94),自杀 (HR2.20),呼吸 (HR2.01),循环 (HR1.71),与糖尿病相关 (HR2.86) 和与酒精相关 (HR1.56) 的死亡率增加有关.
- 与武器相关的攻击录取也显示出与所有原因死亡率 (HR 1.58) 的显著关联.
结论:
- 与未暴露的人相比,暴露于攻击的精神疾病患者经历了较高的死亡率.
- 这种人口的过度死亡率与自然和外部死亡原因有关,强调了暴力的影响.
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