听力损失患者的自杀倾向:系统性审查和元分析
Isabelle J Chau1,2, Anuja H Shah1,3, Shaun A Nguyen1
1Department of Otolaryngology-Head and Neck Surgery, Medical University of South Carolina, Charleston, South Carolina, USA.
概括
与没有听力损失的人相比,听力损失的个体具有明显更高的自杀想法和尝试的风险. 这强调了临床医生需要评估听力障碍患者的心理健康风险.
科学领域:
- 听力学和心理健康
- 公共卫生研究 公共卫生研究
- 精神病学流行病学 精神病学流行病学
背景情况:
- 听力损失是一种普遍的疾病,对生活质量产生重大影响.
- 心理健康状况,包括自杀倾向,是越来越严重的公共卫生问题.
- 听力损失和自杀倾向之间的关系需要进一步研究.
研究的目的:
- 评估与对照人群相比,听力损失的个体中自杀念头和自杀企图的患病率.
- 在听力损失人口中确定与自杀相关的风险因素.
- 通过全面的元分析来综合现有证据.
主要方法:
- 在主要数据库 (CINAHL,Cochrane Review,PubMed,Scopus,PsycINFO) 进行了系统的文献搜索,截至2025年3月.
- 两位独立审稿人选了摘要和符合纳入标准的研究 (听力损失,自杀性措施,年龄≥16岁).
- 固定和随机效应的元分析对比例,连续措施和相对风险 (RR) 进行了评估,评估了抑郁症和社会隔离.
主要成果:
- 分析包括14项研究,涉及221,681名参与者.
- 听力损失的个体表现出更高的自杀想法 (13.2%对9.3%) 和自杀企图 (4.9%对2.4%).
- 听力损失显著增加了自杀念头 (RR=1.47) 和自杀企图 (RR=1.83) 的风险. 在主观听力损失中,抑郁症的风险增加,而在主观听力损失和听力测量听力损失中,自杀想法的风险增加.
结论:
- 听力损失和自杀倾向之间存在明显的联系,根据听力损失的测量,这种联系的强度有所不同.
- 临床医生必须考虑听力测量数据和患者报告的担忧,以进行全面的精神病风险评估.
- 早期查和及时干预对于减轻听力损失患者心理健康后果至关重要.
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