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印度南部一家危机干预诊所中自杀未遂者的性别差异。

Gender differences among suicide attempters attending a Crisis Intervention Clinic in South India.

作者信息

Menon Vikas, Kattimani Shivanand, Sarkar Siddharth, Muthuramalingam Avin

机构信息

Department of Psychiatry, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India.

出版信息

Ind Psychiatry J. 2015 Jan-Jun;24(1):64-9. doi: 10.4103/0972-6748.160936.

Abstract

BACKGROUND AND OBJECTIVES

Studying gender differences among suicide attempters is important for identifying gender-specific risk factors and for planning management and prevention. Our objective was to delineate gender differences among a well-defined group of suicide attempters.

MATERIALS AND METHODS

This record-based study was conducted among patients presenting to a Crisis Intervention Clinic in a Tertiary Care Hospital in South India. Information was gathered regarding sociodemographic and clinical characteristics. Hopelessness was measured using Beck Hopelessness Scale (BHS), and stress was evaluated using Presumptive Stressful Life Events Scale (PSLES).

RESULTS

The sample comprised of 162 males and 137 females. Males were significantly older and were more likely to be employed as compared to females. Alcohol use was significantly more in males and number of men who attempted suicide under intoxication was significantly higher. Females had a greater proportion of attempts with the use of plant poisons and medication overdose. There was no significant difference between two genders on BHS though differences were noted on types of stresses reported on PSLES.

CONCLUSION

Gender-specific differences were noted with regard to substance use, mode of attempt and types of stressors experienced. Identifying these factors might help us to design targeted interventions to prevent further attempts.

摘要

背景与目的

研究自杀未遂者的性别差异对于识别特定性别的风险因素以及规划管理与预防措施具有重要意义。我们的目的是描绘一组明确的自杀未遂者中的性别差异。

材料与方法

这项基于记录的研究在印度南部一家三级护理医院的危机干预诊所就诊的患者中进行。收集了有关社会人口统计学和临床特征的信息。使用贝克绝望量表(BHS)测量绝望程度,并使用推定应激性生活事件量表(PSLES)评估压力。

结果

样本包括162名男性和137名女性。男性明显年龄更大,与女性相比更有可能就业。男性饮酒明显更多,在醉酒状态下自杀未遂的男性人数明显更高。女性使用植物毒药和药物过量进行自杀未遂的比例更大。在BHS上两性之间没有显著差异,尽管在PSLES报告的压力类型上存在差异。

结论

在物质使用、自杀未遂方式和经历的压力源类型方面存在性别差异。识别这些因素可能有助于我们设计有针对性的干预措施以防止进一步的自杀未遂行为。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c5e2/4525435/c44c927fb919/IPJ-24-64-g003.jpg

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