Centre for Health Equity, School of Population and Global Health, The University of Melbourne, 207 Bouverie Street, Melbourne, Australia.
Centre for Disability Research and Policy, Faculty of Health Sciences, The University of Sydney, Sydney, Australia.
J Public Health (Oxf). 2019 Dec 20;41(4):707-713. doi: 10.1093/pubmed/fdy197.
People with disabilities often face a range of social and economic adversities. Evidence suggests that these disadvantages result in poorer mental health. Some research also indicates that people with disabilities are more likely experience thoughts about suicide than people without disability, although most of this research is based on small cross-sectional samples.
We explored the relationship between self-reported disability (measured at baseline) and likelihood of reporting thoughts of suicide (measured at follow up) using a large longitudinal cohort of Australian males. A logistic regression model was conducted with thoughts of suicide within the past 12 months (yes or no) as the outcome and disability as the exposure. The models adjusted for relevant confounders, including mental health using the SF-12 MCS, and excluded males who reported thoughts of suicide at baseline.
After adjustment, there was a 1.48 (95% CI: 0.98-2.23, P = 0.063) increase in the odds of thoughts of suicide among men who also reported a disability. The size of association was similar to that of being unemployed.
Males reporting disability may also suffer from thoughts of suicide. We speculate that discrimination may be one explanation for the observed association. More research on this topic is needed.
残疾人常常面临一系列社会和经济逆境。有证据表明，这些劣势导致了较差的心理健康。一些研究还表明，残疾人比非残疾人更有可能产生自杀念头，尽管大多数此类研究基于小的横断面样本。
我们使用澳大利亚男性的大型纵向队列研究，探讨了自我报告的残疾（在基线时测量）与报告自杀念头的可能性（在随访时测量）之间的关系。使用逻辑回归模型，以过去 12 个月内有自杀念头（是或否）为结果，以残疾为暴露因素。该模型调整了相关混杂因素，包括使用 SF-12 MCS 评估的心理健康，并排除了在基线时报告有自杀念头的男性。
调整后，报告残疾的男性自杀念头的几率增加了 1.48 倍（95%CI：0.98-2.23，P=0.063）。这种关联的大小与失业相似。
报告残疾的男性也可能患有自杀念头。我们推测，歧视可能是观察到的关联的一个解释。需要对此主题进行更多研究。
