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[智利的自杀行为与精神障碍。一项基于人群的研究]

[Suicidal behavior and psychiatric disorders in Chile. A population-based study].

作者信息

Silva Daniel, Vicente Benjamín, Saldivia Sandra, Kohn Robert

出版信息

Rev Med Chil. 2013 Oct;141(10):1275-82. doi: 10.4067/S0034-98872013001000006.

Abstract

BACKGROUND

Suicidal behavior ranges from ideation to consummation of suicide. In Chile, rates of suicide increased from 4.8 to 12.7/100,000 in the period 1992-2009.

AIM

To evaluate the prevalence of suicidal behavior and its relationship with sociodemographic factors and psychiatric diseases.

MATERIAL AND METHODS

The Composite International Diagnostic Interview (CIDI), was applied to a representative sample of 2,978 Chilean participants. The prevalence of four suicidal behaviors (thinking about or wishing death, suicide ideation and suicide attempts) and of psychiatric diseases according to the revised third version of the Diagnostic and Statistical Manual of Mental Disorders (DSM III-R), was calculated.

RESULTS

The lifetime prevalence of suicidal conception was 14.3% and the suicide attempt 7.7%, the latest associated with sex, age, school years, smoking habits, being married or having a relationship, depressive disorders, dysthymia, and alcohol, drug and tobacco dependence.

CONCLUSIONS

Rates founded exceed international prevalence data and extrapolated to current rates of completed suicide, higher levels of suicidal behavior should be expected. Considering the associated disorders we can infer that it is essential a correct diagnosis and treatment of mood disorders and substance consumption to any other specific interventions.

摘要

背景

自杀行为涵盖从自杀意念到自杀既遂。在智利,1992年至2009年期间自杀率从每10万人4.8例增至12.7例。

目的

评估自杀行为的患病率及其与社会人口学因素和精神疾病的关系。

材料与方法

对2978名智利参与者的代表性样本应用了复合国际诊断访谈(CIDI)。根据《精神疾病诊断与统计手册》第三版修订版(DSM III-R)计算了四种自杀行为(思考或希望死亡、自杀意念和自杀未遂)以及精神疾病的患病率。

结果

自杀观念的终生患病率为14.3%,自杀未遂为7.7%,后者与性别、年龄、受教育年限、吸烟习惯、已婚或有伴侣、抑郁症、心境恶劣以及酒精、药物和烟草依赖有关。

结论

所发现的患病率超过国际患病率数据,若外推至当前的自杀既遂率,则预计自杀行为水平会更高。鉴于相关疾病,我们可以推断,对情绪障碍和物质使用进行正确诊断和治疗对于任何其他特定干预措施而言至关重要。

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