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自杀风险及其与婚姻状况变化的关系。

Suicide risk and its relationship to change in marital status.

机构信息

Institute of Public Health of the Republic of Slovenia, Slovenia.

出版信息

Crisis. 2011;32(1):24-30. doi: 10.1027/0227-5910/a000054.

DOI:10.1027/0227-5910/a000054
PMID:21371967
Abstract

BACKGROUND

Different types of marital status are associated with different levels of suicidal risk.

AIMS

To study marital status change and the effect of its recency in relation to suicidal behavior.

METHODS

Suicide victims (1614) in Slovenia and matched controls (4617) were compared for incidence and recency of marital status change during the last 5 years of their lives.

RESULTS

A higher percentage of suicide victims (10.7%) had a marital status change in the last 5 years compared with the controls (5.6%). All types of marital status changes (becoming widowed, getting divorced, getting married) proved to be risk factors for suicidal behavior. Almost half of all marital status changes in suicide victims occurred in the year prior to suicide, whereas marital status changes in the control group were equally distributed over the last 5 years. For recently married and divorced people, the increase in suicide risk depended on age: The risk was higher in older people.

CONCLUSIONS

Marital status change represents a risk factor for suicidal behavior. The first year after the change is critical for elevated suicidal risk, in particular for older people.

摘要

背景

不同类型的婚姻状况与不同程度的自杀风险相关。

目的

研究婚姻状况变化及其近期变化与自杀行为的关系。

方法

对斯洛文尼亚的自杀受害者(1614 人)和匹配对照者(4617 人)进行比较,以了解他们在生命的最后 5 年中婚姻状况变化的发生率和近期变化。

结果

与对照组(5.6%)相比,自杀受害者(10.7%)中在过去 5 年内婚姻状况发生变化的比例更高。所有类型的婚姻状况变化(丧偶、离婚、结婚)都被证明是自杀行为的危险因素。自杀受害者的婚姻状况变化中,近一半发生在自杀前一年,而对照组的婚姻状况变化则在过去 5 年内均匀分布。对于最近结婚和离婚的人来说,自杀风险的增加取决于年龄:老年人的风险更高。

结论

婚姻状况变化是自杀行为的一个危险因素。变化后的第一年是自杀风险升高的关键时期,特别是对老年人而言。

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