宗教信仰与英国自杀意念和自杀未遂的关联。
The association of religiosity with suicidal ideation and suicide attempts in the United Kingdom.
机构信息
Faculty of Medicine, University of Paris 5, Paris, France.
Research and Development Unit, Parc Sanitari Sant Joan de Déu, Universitat de Barcelona, Fundació Sant Joan de Déu, Barcelona, Spain.
出版信息
Acta Psychiatr Scand. 2019 Feb;139(2):164-173. doi: 10.1111/acps.12972. Epub 2018 Oct 17.
OBJECTIVE
The goal was to analyze the association of religiosity with suicidal ideation and suicide attempts in a UK nationally representative sample.
METHODS
This study used cross-sectional data from 7403 people who participated in the 2007 Adult Psychiatric Morbidity Survey (APMS). Religion was assessed with the question 'Do you have a specific religion?' with 'yes' and 'no' answer options. Lifetime and past 12-month suicidal ideation and suicide attempts were assessed. The association between religiosity and suicidality was studied in multivariable logistic regression models adjusted for sociodemographic, behavioural, and psychopathological factors.
RESULTS
Compared to those without a religion, the prevalence of past 12-month suicidal ideation (3.2% vs. 5.4%), past 12-month suicide attempts (0.4% vs. 0.9%), lifetime suicidal ideation (11.2% vs. 16.4%), and lifetime suicide attempts (3.6% vs. 6.0%) was lower among those with a religion. In the fully adjusted model, having a religion was significantly associated with lower odds for all types of suicidality except past 12-month suicide attempts: suicidal ideation (past 12-month: OR = 0.71, 95% CI = 0.51-0.99; lifetime: OR = 0.83, 95% CI = 0.69-0.99) and suicide attempts (past 12-month: OR = 0.71, 95% CI = 0.35-1.45; lifetime: OR = 0.69, 95% CI = 0.53-0.90).
CONCLUSION
There is a negative association between religiosity and suicidality in the UK. Future studies should focus on the underlying mechanisms.
目的
分析在英国全国代表性样本中，宗教信仰与自杀意念和自杀企图的关联。
方法
本研究使用了参加 2007 年成人精神疾病发病率调查（APMS）的 7403 人的横断面数据。宗教信仰通过“你是否有特定的宗教信仰？”这个问题来评估，答案有“是”和“否”两种选择。终身和过去 12 个月的自杀意念和自杀企图都进行了评估。在调整了社会人口学、行为和精神病理因素后，使用多变量逻辑回归模型研究了宗教信仰与自杀意念之间的关联。
结果
与没有宗教信仰的人相比，过去 12 个月有自杀意念的人（3.2%对 5.4%）、过去 12 个月有自杀企图的人（0.4%对 0.9%）、有自杀意念的人（11.2%对 16.4%）和有自杀企图的人（3.6%对 6.0%）的比例较低。在完全调整的模型中，有宗教信仰与所有类型自杀意念的可能性降低有关，除了过去 12 个月的自杀企图：自杀意念（过去 12 个月：OR=0.71，95%CI=0.51-0.99；终身：OR=0.83，95%CI=0.69-0.99）和自杀企图（过去 12 个月：OR=0.71，95%CI=0.35-1.45；终身：OR=0.69，95%CI=0.53-0.90）。
结论
在英国，宗教信仰与自杀意念之间存在负相关关系。未来的研究应该关注潜在的机制。
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