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自杀人群中不愿寻求专业帮助:来自瑞士健康调查的结果。

Reluctance to seek professional help among suicidal people: results from the Swiss Health Survey.

机构信息

Population Mental Health Group, Centre for Mental Health, Melbourne School of Population and Global Health, University of Melbourne, 207 Bouverie Street, Melbourne, VIC, 3010, Australia.

出版信息

Int J Public Health. 2016 May;61(4):495-504. doi: 10.1007/s00038-015-0782-8. Epub 2016 Jan 30.

Abstract

OBJECTIVES

To investigate whether help-negation (not accepting or accessing available helping resources) among suicidal people can also be found in a Swiss sample.

METHODS

Data on 16,640 participants (aged 15 and older) from the Swiss Health Survey 2012 was analyzed. Logistic regression analyses were conducted to study the association between suicidality (categorized into "not at all"; "several days"; and "more than half of the days") and currently being in treatment for depression (covariates: depression and socio-demographic variables).

RESULTS

Less than 1/3 of the participants with the highest level of suicidality were currently in treatment (males: 27.0 %; females: 29.6 %). Participants who were experiencing suicidality for several days were more likely to be in treatment relative to non-suicidal people. However, people with the highest level of suicidality did not differ from the other two groups in regard to treatment frequency. Help-negation was particularly pronounced among males and young people (15-24-year olds).

CONCLUSIONS

The reluctance to seek professional help is problematic because treatment might reduce the risk of suicide.

摘要

目的

在瑞士样本中研究自杀人群中是否也存在否认帮助(不接受或不利用可获得的帮助资源)的现象。

方法

对 2012 年瑞士健康调查中 16640 名参与者(年龄在 15 岁及以上)的数据进行分析。采用逻辑回归分析研究自杀倾向(分为“一点也没有”、“几天”和“超过一半的日子”)与目前正在接受抑郁症治疗(协变量:抑郁和社会人口学变量)之间的关联。

结果

不到 1/3 的自杀倾向最高的参与者正在接受治疗(男性:27.0%;女性:29.6%)。与非自杀者相比,几天有自杀倾向的参与者更有可能接受治疗。然而,在治疗频率方面,自杀倾向最高的人与其他两组没有差异。拒绝寻求专业帮助的现象在男性和年轻人(15-24 岁)中尤为明显。

结论

不愿寻求专业帮助是有问题的,因为治疗可能会降低自杀风险。

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