Comiford Ashley L, Sanderson Wayne T, Chesnut Lorie, Brown Sabrina
University of Kentucky, College of Public Health, Kentucky, US. Email:
J Inj Violence Res. 2016 Jul;8(2):81-7. doi: 10.5249/jivr.v8i2.776. Epub 2016 Apr 19.
Suicide is the 10th leading cause of death in the United States. Furthermore, intimate partner problems are amid the top precipitating circumstances among suicide decedents. The aim of this study was to determine circumstantial associations of intimate partner problem-related suicides in suicide decedents in Kentucky.
All suicides that were reported to the Kentucky Violent Death Reporting System between 2005 and 2012 were eligible for this study. Multiple logistic regression was used to explore predictors (precipitating health-related problems, life stressors, and criminal/legal issues) of intimate partner problem-related suicides.
Of the 4,754 suicides, included in this study, approximately 17% had intimate partner problems prior to suicide. In the adjusted analysis, mental health issues, alcohol problems, history of suicides attempts, suicides precipitated by another crime, and other legal problems increased the odds of having an intimate partner-related suicide. However, having physical health problems, prior to the suicide, decreased the odds of intimate partner-related suicide.
These results provide insight for the development of suicide interventions for individuals with intimate partner problems by targeting risk factors that are prevalent among this population. Moreover, these results may help marriage/relationship and/or family/divorce court representatives identify individuals with intimate partner problems more at risk for suicide and alleviate the influence these suicide risk factors have on individuals experiencing Intimate partner problems.
自杀是美国第十大死因。此外,亲密伴侣问题是自杀死亡者中最主要的诱发情况之一。本研究的目的是确定肯塔基州自杀死亡者中与亲密伴侣问题相关的自杀的相关情况。
2005年至2012年间向肯塔基州暴力死亡报告系统报告的所有自杀案例均符合本研究的条件。采用多因素逻辑回归分析来探究与亲密伴侣问题相关的自杀的预测因素(与健康相关的诱发问题、生活压力源以及犯罪/法律问题)。
在本研究纳入的4754例自杀案例中,约17%在自杀前存在亲密伴侣问题。在调整分析中,心理健康问题、酒精问题、自杀未遂史、由另一犯罪行为引发的自杀以及其他法律问题增加了与亲密伴侣相关的自杀几率。然而,自杀前存在身体健康问题会降低与亲密伴侣相关的自杀几率。
这些结果为针对有亲密伴侣问题的个体制定自杀干预措施提供了思路,即针对该人群中普遍存在的风险因素。此外,这些结果可能有助于婚姻/关系和/或家庭/离婚法庭代表识别出有亲密伴侣问题且自杀风险更高的个体,并减轻这些自杀风险因素对有亲密伴侣问题的个体的影响。