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西班牙不同年龄组与自杀意念及自杀未遂相关的因素。经济危机爆发前后的患病率。

Factors associated with suicidal ideation and attempts in Spain for different age groups. Prevalence before and after the onset of the economic crisis.

作者信息

Miret Marta, Caballero Francisco Félix, Huerta-Ramírez Raúl, Moneta María Victoria, Olaya Beatriz, Chatterji Somnath, Haro Josep Maria, Ayuso-Mateos José Luis

机构信息

Instituto de Salud Carlos III, Centro de Investigación Biomédica en Red de Salud Mental, CIBERSAM, Spain; Department of Psychiatry, Universidad Autónoma de Madrid, Spain; Department of Psychiatry, Hospital Universitario de La Princesa, Instituto de Investigación Sanitaria Princesa (IP), Madrid, Spain.

Complejo Asistencial Benito Menni, Hermanas Hospitalarias, Ciempozuelos, Madrid, Spain.

出版信息

J Affect Disord. 2014 Jul;163:1-9. doi: 10.1016/j.jad.2014.03.045. Epub 2014 Apr 1.

Abstract

BACKGROUND

Little is known about whether the prevalence of suicidal ideation and attempts has changed in the wake of the economic crisis. The aim of this study was to estimate current prevalence of suicidal ideation and attempts in the general population in Spain, to compare it with the prevalence found before the economic crisis, and to analyse the factors associated with suicidality in different age groups.

METHODS

A total of 4583 non-institutionalised adults were interviewed in a cross-sectional household survey of a nationally representative sample in Spain. Several modules of an adapted version of the Composite International Diagnostic Interview were administered to the participants, and logistic regression models were employed in each age group.

RESULTS

Lifetime prevalence of suicidal ideation and attempts in Spain were respectively, 3.67% and 1.46%. Mental disorders presented the highest significant effects on lifetime suicidal ideation. Marital status, heavy alcohol consumption, and occupational status were associated with lifetime suicidal ideation in people aged 18-49, whereas loneliness was associated with the 50-64 group, and financial problems with the 65+ group. A younger age, poor health status and the presence of depression were all associated with lifetime suicide attempts.

LIMITATIONS

The cross-sectional design of the study represents a methodological limitation.

CONCLUSIONS

The current prevalence of suicidal ideation and attempts in Spain is similar to the one found ten years ago, before the recent economic crisis. The factors associated with suicidality vary among age groups. Suicide prevention programmes should focus on early detection and prevention for depression and anxiety disorders.

摘要

背景

关于经济危机后自杀意念和自杀未遂的患病率是否发生变化,目前所知甚少。本研究的目的是估计西班牙普通人群中目前自杀意念和自杀未遂的患病率,将其与经济危机前的患病率进行比较,并分析不同年龄组中与自杀行为相关的因素。

方法

在一项对西班牙全国代表性样本进行的横断面家庭调查中,共对4583名非机构化成年人进行了访谈。对参与者实施了综合国际诊断访谈改编版的几个模块,并在每个年龄组中采用了逻辑回归模型。

结果

西班牙自杀意念和自杀未遂的终生患病率分别为3.67%和1.46%。精神障碍对终生自杀意念的影响最为显著。婚姻状况、大量饮酒和职业状况与18 - 49岁人群的终生自杀意念相关,而孤独感与50 - 64岁组相关,经济问题与65岁及以上组相关。年龄较小者、健康状况较差以及存在抑郁症均与终生自杀未遂相关。

局限性

本研究的横断面设计是一种方法学上的局限性。

结论

西班牙目前自杀意念和自杀未遂的患病率与十年前最近一次经济危机前的患病率相似。与自杀行为相关的因素在不同年龄组中有所不同。自杀预防项目应侧重于对抑郁症和焦虑症的早期发现和预防。

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