Research Centre of the University of Montréal Hospital Centre/Department of Social and Preventive Medicine, University of Montréal, 1301 rue Sherbrooke East, Québec, Canada.
Int J Inj Contr Saf Promot. 2010 Mar;17(1):23-40. doi: 10.1080/17457300903309231.
This comprehensive review covers studies that have examined the relationship between socioeconomic status (SES) and attempted suicide over a 20 year period. As a whole, they suggest that greater socioeconomic disadvantage is often--but not consistently--associated with higher rates of suicide attempts. The strength of the association varies across countries, the demographic groups examined, the SES measures used and the data source. This knowledge comes from a few, mostly high-income, countries. Future studies are needed that clarify the mechanisms involved and determine whether they are context-specific. The evidence base as to how to avoid--or narrow down--socioeconomic divides in attempted suicide is poor, and we do not know whether documented counter-measures work best where they may be needed most.
这篇综述涵盖了在过去 20 年中研究社会经济地位(SES)与自杀未遂之间关系的研究。总的来说,这些研究表明,社会经济劣势往往与更高的自杀未遂率相关——但并非始终如此。这种关联的强度因国家、所研究的人群、使用的 SES 衡量标准和数据源而异。这些知识来自少数几个,主要是高收入国家。需要进一步的研究来阐明所涉及的机制,并确定它们是否具有特定的背景。关于如何避免或缩小自杀未遂中的社会经济差距的证据基础很差,我们也不知道记录在案的对策在最需要的地方是否效果最好。