Research Center of Psychiatry and Behavioral Sciences, Tabriz University of Medical Sciences, Tabriz, Iran.
School of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran.
J Clin Nurs. 2019 Sep;28(17-18):3252-3261. doi: 10.1111/jocn.14901. Epub 2019 May 26.
To investigate the impact of domestic violence-related factors on suicide attempt in married women.
Suicide is a global public health concern that poses significant burden on individuals, families and communities. There is limited research on factors predicting suicide attempt in women.
A retrospective case-control design was adopted.
Using a convenience sampling method, 610 participants, admitted to a teaching referral hospital in Northwest of Iran, were recruited to the study and assigned to case or control groups based on whether or not they had attempted suicide. The participants in two groups were matched in the terms of important demographic characteristics. Domestic violence-related factors were considered as independent variables and suicide attempt as dependent variable. Descriptive statistics, and simple and multivariate logistic regression analysis were used to analyse the data. Odds ratios (OR) of domestic violence-related factors were compared between the groups. We used STROBE checklist as an EQUATOR in this study.
The mean age of participants in the case and control groups was 28.4 and 29.45 years, respectively. The infidelity was the strongest predictor of suicide attempt in women (OR 44.57, 95%CI 6.08-326. 63, p < 0.001), followed by being threatened to physical assault by husband (OR 37.01, 95%CI 11.54-118.67, p < 0.001), jealousy of husband (OR 23.46, 95%CI 11.63-47.30, p < 0.001), and previous attempts to divorce (OR 16.55, 95%CI 5.91-46.31, p < 0.001). Suicide attempt was significantly lower in women who reported a sense of peace in life or lived with their mother or father-in-law (p < 0.001).
To reduce the risk of suicide in women, violence against women should be condemned and appropriate prevention measures be taken by health professionals.
Recognising risk, assessment and referral of victims of domestic violence should be an integral part of healthcare systems.
探讨与家庭暴力相关的因素对已婚妇女自杀企图的影响。
自杀是一个全球性的公共卫生问题，给个人、家庭和社区带来了重大负担。关于预测妇女自杀企图的因素的研究有限。
采用回顾性病例对照设计。
采用便利抽样法，招募了 610 名参与者，他们被分配到病例组或对照组，具体取决于他们是否有过自杀企图。两组参与者在重要人口统计学特征方面进行了匹配。将与家庭暴力相关的因素视为自变量，自杀企图为因变量。采用描述性统计、简单和多元逻辑回归分析对数据进行分析。比较两组与家庭暴力相关因素的优势比（OR）。本研究采用 STROBE 清单作为 EQUATOR。
病例组和对照组参与者的平均年龄分别为 28.4 岁和 29.45 岁。不忠是女性自杀企图的最强预测因素（OR 44.57，95%CI 6.08-326.63，p<0.001），其次是丈夫威胁身体攻击（OR 37.01，95%CI 11.54-118.67，p<0.001）、丈夫嫉妒（OR 23.46，95%CI 11.63-47.30，p<0.001）和之前试图离婚（OR 16.55，95%CI 5.91-46.31，p<0.001）。报告生活有平静感或与父母或岳父岳母同住的女性自杀企图明显较低（p<0.001）。
为了降低妇女自杀的风险，应谴责对妇女的暴力行为，并由卫生专业人员采取适当的预防措施。
识别、评估和转介家庭暴力受害者应成为医疗保健系统的一个组成部分。
