胸部移植中自杀的趋势和危险因素
Emily L Larson1, Alice L Zhou1, Jacob S Shaw2
1Division of Thoracic Surgery, Department of Surgery, Johns Hopkins School of Medicine, Baltimore, Maryland, USA.
Clinical transplantation
|March 3, 2026
概括
心脏和肺移植接受者的自杀率高于全国平均水平. 男性和白人接受者面临自杀风险增加,强调了移植团队需要有针对性的精神病治疗的需要.
科学领域:
- 心脏病学 心脏病学
- 精神病学是一个精神病学.
- 移植医学 移植医学
背景情况:
- 移植是一个重大的心理社会挑战.
- 在腹部移植后观察到较高的自杀率.
- 这项研究的重点是胸部移植接受者.
研究的目的:
- 为了确定心脏和肺移植接受者的自杀率.
- 确定胸部移植后自杀的危险因素.
主要方法:
- 使用了UNOS/OPTN数据库 (1995-2022年).使用了UNOS/OPTN数据库 (1995-2022年).
- 包括已成年接受过孤立初级心脏或肺移植的人.
- 采用多变量逻辑回归来确定自杀风险因素.
主要成果:
- 总体自杀率:每10万名接受者中有109.41.
- 自杀死亡在男性 (86.6%) 和白人 (90.2%) 接受者中更为常见.
- 男性性别和白人种族与自杀风险增加有关 (aOR分别为4.42和3.98).
结论:
- 胸部移植接受者自杀率高于一般人群.
- 白人男性被确定为一个高风险群体.
- 将精神病治疗纳入移植团队对于高危人群至关重要.
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