Norwegian Institute of Public Health, Domain for Mental and Physical Health, Norway.
Scand J Public Health. 2019 Feb;47(1):9-17. doi: 10.1177/1403494817746274. Epub 2017 Dec 5.
To examine rates of contact with primary and mental health care prior to suicide in men and women and across a range of age categories.
The authors performed a systematic review of 44 studies from 2000 to 2017 of which 36 reported rates on contact with primary health care and 14 reported on contact with mental health care prior to suicide.
Contact with primary health care was highest in the year prior to suicide with an average contact rate of 80%. At one month, the average rate was 44%. The lifetime contact rate for mental health care was 57%, and 31% in the final 12 months. In general, women and those over 50 years of age had the highest rates of contact with health care prior to suicide.
Contact with primary health care prior to suicide is common even in the final month before death. The findings presented in this study highlight the importance of placing suicide prevention strategies and interventions within the primary health care setting.
调查男性和女性在自杀前与初级和精神卫生保健的接触率，并按年龄范围进行分类。
作者对 2000 年至 2017 年的 44 项研究进行了系统回顾，其中 36 项研究报告了自杀前与初级卫生保健的接触率，14 项研究报告了自杀前与精神卫生保健的接触率。
自杀前一年与初级卫生保健的接触率最高，平均接触率为 80%。一个月后，平均接触率为 44%。精神卫生保健的终身接触率为 57%，最后 12 个月的接触率为 31%。一般来说，女性和 50 岁以上的人在自杀前与医疗保健的接触率最高。
自杀前与初级卫生保健的接触很常见，即使是在死亡前的最后一个月也是如此。本研究中的发现强调了将预防自杀策略和干预措施置于初级卫生保健环境中的重要性。
