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与自杀未遂相关的风险因素:一项病例对照研究。

Risk factors associated with attempted suicide : a case control study.

机构信息

Chief Medical Officer, Department of Community Medicine, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER) Pondicherry 605006, India.

出版信息

Indian J Psychiatry. 2004 Jan;46(1):33-8.

Abstract

This study was conducted to identify the risk factors associated with attempted suicide among people living in and around Pondicherry. Using a case control study design, 137 consecutive cases of attempted suicide admitted to Jawaharlal Institute of Postgraduate Medical Education and Research, a teaching hospital in Pondicherry and an equal number of controls, matched individually with cases for age and sex, from the relatives and friends of the other patients, were studied. Variables related to socio demographic characteristics, family background, recent stressful life events, physical and psychiatric morbidity were analysed. The strength of association with the risk of attempt was calculated using odds ratio with 95% confidence interval. Odds ratios for the factors identified to be significantly associated with increased risk of suicide attempt were 15.82(95% CI 6.55-40) for unemployment, 3.02 (95%CI 1.78-5.14) for lack of formal education, 3.95 (95% CI 2.02-7.79) for the presence of stressful life events in the last six months, 3.12 (95%CI 1.37-7.24) for suffering from physical disorders and 6.78 (95% CI 2.39-2070) for suffering from idiopathic pain. Significant association was not revealed in respect to marital status, type of family, early parental losses, family history of suicide and presence of psychiatric morbidity.

摘要

这项研究旨在确定与生活在本地及其周边地区的人们自杀企图相关的风险因素。采用病例对照研究设计,选择了 137 名连续入院的自杀未遂者(均来自本地的教学医院——Pondicherry 的 JIPMER)作为病例组,匹配了同等数量的对照组,这些对照组患者均为其他患者的亲友。对社会人口统计学特征、家庭背景、近期生活应激事件、躯体和精神疾病的相关变量进行了分析。使用比值比(95%置信区间)计算与自杀企图风险相关的关联强度。自杀企图风险显著增加的因素包括:失业(比值比 15.82,95%置信区间 6.55-40)、缺乏正规教育(比值比 3.02,95%置信区间 1.78-5.14)、近 6 个月存在生活应激事件(比值比 3.95,95%置信区间 2.02-7.79)、躯体疾病(比值比 3.12,95%置信区间 1.37-7.24)和特发性疼痛(比值比 6.78,95%置信区间 2.39-2070)。但婚姻状况、家庭类型、早期父母丧失、自杀家族史和精神疾病的存在与自杀企图风险之间并未显示出显著关联。

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