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自杀发生中精神障碍的归因。

Attribution of mental disorders in suicide occurrence.

机构信息

Ilam University of Medical Sciences, Ilam, Iran.

出版信息

Omega (Westport). 2014;69(3):311-21. doi: 10.2190/OM.69.3.f.

Abstract

The present study aimed to determine attribution of mental disorders in suicide occurrence. By a cross-sectional study, all suicide records (n = 5188), between 1993 and 2009 in Ilam province, were investigated. Multiple logistic regression analysis was adopted. Totally, 27.5% of the suicides occurred due to mental disorders. This was significantly higher in males (29.3%), individuals born in 1996 (44%) and 1990s (30.3%), those aged 30 years and above (33.2%) and suicide attempters (28.3%), respectively and separately. The risk of suicide due to mental disorders was observed for females (OR = 0.85, CI = 0.74-0.97), those born in 1994 (OR = 2.82, CI = 1.27-6.24), completed suicides (OR = 0.81, CI = 0.68-0.97) and the age group 25 to 29 years old (OR = 0.82, CI = 0.66-1.01). Suicide due to mental disorders was higher among males compared to females, the rate of which was directly proportional to attempted suicide and age. It is therefore recommended that health educations be seriously carried on targeted groups.

摘要

本研究旨在确定精神障碍在自杀发生中的归因。通过横断面研究,调查了 1993 年至 2009 年伊拉姆省所有的自杀记录(n=5188)。采用多变量逻辑回归分析。总的来说,27.5%的自杀是由于精神障碍。男性(29.3%)、1996 年(44%)和 1990 年代(30.3%)出生、30 岁及以上(33.2%)和自杀未遂者(28.3%)的自杀归因于精神障碍的比例显著更高,分别单独。精神障碍导致自杀的风险在女性(OR=0.85,CI=0.74-0.97)、1994 年出生(OR=2.82,CI=1.27-6.24)、完成自杀(OR=0.81,CI=0.68-0.97)和 25 至 29 岁年龄组(OR=0.82,CI=0.66-1.01)中观察到。与女性相比,男性精神障碍导致的自杀率更高,其比例与自杀未遂和年龄直接相关。因此,建议针对目标群体认真开展健康教育。

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