美国社区成年居民的自杀意念。
Suicidal ideation among community-dwelling adults in the United States.
机构信息
Beth Han, Richard McKeon, and Joe Gfroerer are with the Substance Abuse and Mental Health Services Administration, US Department of Health and Human Services, Rockville, MD.
出版信息
Am J Public Health. 2014 Mar;104(3):488-97. doi: 10.2105/AJPH.2013.301600. Epub 2014 Jan 16.
OBJECTIVES
We examined the prevalence and correlates of past-year suicidal ideation among US community-dwelling adults.
METHODS
We examined data from 183 100 persons aged 18 years or older (including 9800 sampled adults with past-year suicidal ideation) who participated in the 2008-2011 National Survey on Drug Use and Health. We applied descriptive analyses and pooled and stratified (by age and major depression) multivariate logistic regression models.
RESULTS
The prevalence of past-year suicidal ideation among younger adults (6.6% among those aged 18-25 years and 4.0% among those aged 26-49 years) was higher than was that among adults aged 50 years or older (2.5%). The prevalence of suicidal ideation was high among adults with major depression (26.3%), adults with both major depression and substance use disorder (37.7%), and adults who received mental health treatment but perceived unmet treatment need (33.5%).
CONCLUSIONS
Many risk and protective factors of suicidal ideation are dynamic and vary by age or major depression. These results have important implications for developing specific suicide prevention strategies that help screen, assess, and treat suicidal adults at the earliest possible time.
目的
我们调查了美国社区成年居民过去一年出现自杀意念的流行率及其相关因素。
方法
我们对参加了 2008-2011 年全国药物使用与健康调查的 183100 名 18 岁及以上的人（包括 9800 名过去一年有自杀意念的抽样成年人）的数据进行了分析。我们采用描述性分析和汇总及分层（按年龄和主要抑郁障碍分层）多变量逻辑回归模型。
结果
年轻人（18-25 岁者中为 6.6%，26-49 岁者中为 4.0%）过去一年出现自杀意念的流行率高于 50 岁及以上者（2.5%）。有主要抑郁障碍者（26.3%）、有主要抑郁障碍和物质使用障碍者（37.7%）以及接受过心理健康治疗但自认为未满足治疗需求者（33.5%）自杀意念的流行率较高。
结论
自杀意念的许多风险和保护因素是动态的，且因年龄或主要抑郁障碍而异。这些结果对于制定特定的自杀预防策略具有重要意义，有助于尽早发现、评估和治疗有自杀意念的成年人。
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