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全国代表性样本中慢性疼痛与自杀倾向的患病率及其相关因素

The prevalence and correlates of chronic pain and suicidality in a nationally representative sample.

作者信息

Campbell Gabrielle, Darke Shane, Bruno Raimondo, Degenhardt Louisa

机构信息

National Drug and Alcohol Research Centre, UNSW, Sydney, Australia

National Drug and Alcohol Research Centre, UNSW, Sydney, Australia.

出版信息

Aust N Z J Psychiatry. 2015 Sep;49(9):803-11. doi: 10.1177/0004867415569795. Epub 2015 Feb 19.

DOI:10.1177/0004867415569795
PMID:25698809
Abstract

BACKGROUND

Research suggests that people suffering from chronic pain have elevated rates of suicidality. With an ageing population, more research is essential to gain a better understanding of this association.

AIMS

To document the prevalence and correlates of chronic pain and suicide, and estimate the contribution of chronic pain to suicidality.

METHOD

Data from the 2007 Australian National Survey of Mental Health and Wellbeing, a nationally representative household survey on 8841 people, aged 16-85 years, was analysed.

RESULTS

The odds of lifetime and past 12-month suicidality were two to three times greater in people with chronic pain. Sixty-five percent of people who attempted suicide in the past 12 months had a history of chronic pain. Chronic pain was independently associated with lifetime suicidality after controlling for demographic, mental health and substance use disorders.

CONCLUSIONS

Health care professionals need to be aware of the risk of suicidality in patients with chronic pain, even in the absence of mental health problems.

摘要

背景

研究表明,患有慢性疼痛的人群自杀率较高。随着人口老龄化,开展更多研究对于更好地理解这种关联至关重要。

目的

记录慢性疼痛与自杀的患病率及相关因素,并评估慢性疼痛对自杀倾向的影响。

方法

分析了2007年澳大利亚全国心理健康与幸福调查的数据,该调查是一项针对8841名年龄在16 - 85岁的具有全国代表性的家庭调查。

结果

患有慢性疼痛的人群终身及过去12个月内出现自杀倾向的几率高出两到三倍。在过去12个月内尝试自杀的人群中,65%有慢性疼痛病史。在控制了人口统计学、心理健康和物质使用障碍因素后,慢性疼痛与终身自杀倾向独立相关。

结论

医疗保健专业人员需要意识到慢性疼痛患者存在自杀倾向的风险,即使患者没有心理健康问题。

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