McConnell David, Hahn Lyndsey, Savage Amber, Dubé Camille, Park Elly
Family and Disability Studies Initiative, Faculty of Rehabilitation Medicine, University of Alberta, Edmonton, AB, T6G 2G4, Canada.
Community Ment Health J. 2016 Jul;52(5):519-26. doi: 10.1007/s10597-015-9911-3. Epub 2015 Jul 23.
This study investigated prevalence and risk factors for suicidal ideation among adults with self-reported disability in Western Canada. The method was secondary data analysis utilising the Canadian Community Health Survey. The odds of 12-month suicidal ideation are 3.5 times greater for adults with self-reported disability compared with non-disabled adults, controlling for age, sex, ethnicity, and psychiatric morbidity. The heightened risk of ideation among adults with self-reported disability is partially explained by social adversity, including food insecurity and low sense of community belonging. Reducing suicide risk among adults with disability requires a broad-spectrum approach, including mental health care, and strategies to ameliorate social and economic hardship.
本研究调查了加拿大西部自我报告有残疾的成年人中自杀意念的患病率及风险因素。研究方法是利用加拿大社区健康调查进行二次数据分析。在控制了年龄、性别、种族和精神疾病发病率后,自我报告有残疾的成年人出现12个月自杀意念的几率是非残疾成年人的3.5倍。自我报告有残疾的成年人中意念风险增加部分可归因于社会逆境,包括粮食不安全和社区归属感低。降低残疾成年人的自杀风险需要采取包括心理保健以及缓解社会和经济困难的策略在内的广泛方法。