Gomberg E S
School of Social Work, Department of Psychiatry, University of Michigan, Ann Arbor 48109-1285.
Am J Public Health. 1989 Oct;79(10):1363-5. doi: 10.2105/ajph.79.10.1363.
The current study compares 301 alcoholic women, ages 20 to 50, interviewed in 21 treatment facilities, and a control group of nonalcoholic women matched for age and socioeconomic status of family of origin. A significantly higher percentage of alcoholic women (40.0% vs 8.8%) reported having made suicide attempts, a difference of 31.2 percentage points (95% CI = 23.9, 38.5). Age comparisons within the alcoholic sample show the percentage of younger alcoholic women attempting suicide to be twice as great as the percentage of the alcoholic women suicide attempters in their forties. Such age differences were not found among the nonalcoholic control group. The findings suggest that youthfulness and alcohol/drug abuse are the critical combination for high risk. Awareness of the suicide attempt risk potential is necessary both for emergency room personnel and for substance abuse facility workers.
本研究比较了21家治疗机构中接受访谈的301名年龄在20至50岁之间的酗酒女性,以及一组在年龄和原生家庭社会经济地位方面与之匹配的非酗酒女性对照组。报告曾有过自杀未遂经历的酗酒女性比例(40.0%对8.8%)显著更高,相差31.2个百分点(95%置信区间 = 23.9, 38.5)。酗酒样本中的年龄比较显示,年轻酗酒女性自杀未遂的比例是40多岁酗酒女性自杀未遂者比例的两倍。在非酗酒对照组中未发现此类年龄差异。研究结果表明,年轻以及酒精/药物滥用是高风险的关键组合。急诊室工作人员和药物滥用治疗机构工作人员都有必要了解自杀未遂的潜在风险。