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肯尼亚年轻男性中的亲密关系、自杀意念及与自杀相关的住院情况

Intimate Partnerships, Suicidal Ideation and Suicide-Related Hospitalization Among Young Kenyan Men.

作者信息

Goodman Michael L, Seidel Sarah E, Gibson Derrick, Lin Gwen, Patel Janki, Keiser Philip, Gitari Stanley

机构信息

Department of Internal Medicine, University of Texas, Medical Branch, 301 University Blvd, Galveston, TX, 77555, USA.

Sodzo International, 4100 Main Street, Houston, TX, 77002, USA.

出版信息

Community Ment Health J. 2020 Oct;56(7):1225-1238. doi: 10.1007/s10597-020-00572-0. Epub 2020 Feb 4.

DOI:10.1007/s10597-020-00572-0
PMID:32020388
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9307072/
Abstract

The first study focused on a three-month chart review containing information on suicide attempts (n = 34) admitted to a local mission hospital in Meru County, Kenya. The second study utilized a cross-sectional survey administered to men 18-34 years old (n = 532) residing in rural Kenya. Data posit intimate partnership discord as salient to suicide ideation and behavior. Men who reported their partner status was "divorced" had four-times the odds of reporting suicide ideation than other partnership states, an association significantly mediated by loneliness. Violent conflict tactics predicted suicidal ideation, mediated by loneliness and decreased marital satisfaction.

摘要

第一项研究聚焦于对肯尼亚梅鲁县一家当地教会医院收治的自杀未遂案例(n = 34)进行为期三个月的病历审查。第二项研究采用了横断面调查,对象为居住在肯尼亚农村地区的18至34岁男性(n = 532)。数据表明,亲密伴侣关系不和是自杀意念和行为的重要因素。报告伴侣状态为“离婚”的男性出现自杀意念的几率是其他伴侣状态男性的四倍,这种关联在很大程度上由孤独感介导。暴力冲突策略预示着自杀意念,由孤独感和婚姻满意度下降介导。

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本文引用的文献

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Global, regional, and national burden of suicide mortality 1990 to 2016: systematic analysis for the Global Burden of Disease Study 2016.全球、区域和国家自杀死亡率负担 1990 年至 2016 年:2016 年全球疾病负担研究的系统分析。
BMJ. 2019 Feb 6;364:l94. doi: 10.1136/bmj.l94.
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Suicide in a rural area of coastal Kenya.肯尼亚沿海农村地区的自杀事件。
BMC Psychiatry. 2018 Aug 29;18(1):267. doi: 10.1186/s12888-018-1855-z.
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Suicidality and associated risk factors in outpatients attending a general medical facility in rural Kenya.肯尼亚农村地区综合医疗机构门诊患者的自杀倾向及相关风险因素
J Affect Disord. 2018 Jan 1;225:413-421. doi: 10.1016/j.jad.2017.08.059. Epub 2017 Aug 31.
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How do Kenyan orphan girls experience less meaningful lives and how much does it matter for 'health'?肯尼亚的孤儿女孩如何经历缺乏意义的生活,以及这对“健康”有多大影响?
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The impact of intimate partner relationships on suicidal thoughts and behaviours: A systematic review.亲密伴侣关系对自杀念头和行为的影响:一项系统综述。
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