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澳大利亚有自杀念头者的年龄和性别差异:患病率及相关因素

Age and gender differences among Australian suicide ideators: prevalence and correlates.

作者信息

Fairweather A Kate, Anstey Kaarin J, Rodgers Bryan, Jorm Anthony F, Christensen Helen

机构信息

Centre for Mental Health Research, Australian National University, Canberra, Australia.

出版信息

J Nerv Ment Dis. 2007 Feb;195(2):130-6. doi: 10.1097/01.nmd.0000254746.15325.fa.

Abstract

We investigated the prevalence and correlates of suicidal ideation in an Australian population sample at three stages of adulthood. Random sampling of a community acquired 7485 participants. Cohorts were 20 to 24, 40 to 44, or 60 to 64 years old. Twelve-month prevalence of suicidal ideation was 8.2%. Suicidal ideation was highest among the youngest cohort. Males with chronic physical illness were more prone to suicidal ideation, as were those aged 20 to 24 and 60 to 64. Furthermore, under-employed subjects 60 to 64 years old were seven times more likely to experience suicidal ideation than their counterparts working full-time. Childhood adversity and rumination had positive associations with suicidality; however, considering oneself more masterful was linked with lower levels of suicidal ideation. Contrary to clinical and popular views, our results highlight that proximal non-mental health variables such as employment, physical health, social factors, and personality are equally important to experiencing suicidal ideation as symptoms of psychological distress.

摘要

我们调查了澳大利亚成年人群体样本在成年三个阶段的自杀意念患病率及其相关因素。通过社区随机抽样选取了7485名参与者。队列分为20至24岁、40至44岁或60至64岁。自杀意念的12个月患病率为8.2%。自杀意念在最年轻的队列中最为常见。患有慢性身体疾病的男性更容易产生自杀意念,20至24岁以及60至64岁的男性也是如此。此外,60至64岁就业不足的受试者出现自杀意念的可能性是全职工作者的七倍。童年逆境和反复思考与自杀倾向呈正相关;然而,自我感觉更有掌控力与较低水平的自杀意念相关。与临床和大众观点相反,我们的结果表明,就业、身体健康、社会因素和个性等近端非心理健康变量对于出现自杀意念而言,与心理困扰症状同样重要。

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