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Updated: Jan 25, 2026

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手术后第一年非致命的自我伤害:基于人口的流行病学研究
Calvin Diep1, Julian F Daza2, Sandra Lee3
1Department of Anesthesiology and Pain Medicine, University of Toronto, Toronto, ON, Canada; Institute of Health Policy, Management and Evaluation, Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada.
British journal of anaesthesia
|January 23, 2026
概括
手术恢复可能会引起焦虑,增加自杀风险. 非致命的自我伤害 (NFSI) 发生在每10,000名患者中的7.07名手术后患者中,高于PCI或白内障手术.
科学领域:
- 医学研究 医学研究
- 公共卫生 公共卫生
- 外科手术的结果
背景情况:
- 手术后的康复带来了心理上的挑战.
- 接受手术的患者有自杀行为风险,包括非致命自我伤害 (NFSI).
- 本研究调查了手术后NFSI的发病率和风险因素.
研究的目的:
- 为了确定手术后非致命自我伤害 (NFSI) 的发生率.
- 为了确定与NFSI相关的患者和手术相关的因素.
- 将手术患者的NFSI发病率与接受皮肤冠状动脉干预和白内障手术的患者进行比较.
主要方法:
- 利用来自纽约州 (2016-2018) 的链接行政数据库.
- 包括接受各种手术的成年人 (≥18岁).
- 采用双重可靠估计和考克斯模型来分析结果和风险因素.
主要成果:
- 在手术后一年内,在1,165,881名患者中发现了824例NFSI病例 (发病率为7.07/10,000).
- 与皮肤穿冠状动脉干预 (1万人中4.88人) 和白内障手术 (1万人中1.52人) 相比,NFSI发病率明显高.
- 风险因素包括年龄较小,白人,收入较低,农村居住,先前的精神病史和非选择性手术.
结论:
- 某些患者的人口统计和疾病增加了对术后NFSI的敏感性.
- 行政数据可能低估了手术后自杀行为和心理痛苦的全部程度.
- 建议使用经过验证的仪器进行进一步的研究,以评估手术后的心理痛苦.
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