Li Ning, Zhang Jie, Wang Huiying, Yang Fangru
Institute of Population Research, Peking University, Beijing, China.
School of Sociology and Psychology, Central University of Finance and Economics, Beijing, China.
Community Ment Health J. 2020 Oct;56(7):1372-1379. doi: 10.1007/s10597-020-00576-w. Epub 2020 Feb 14.
Over 90% of suicides in the West could be diagnosed with mental disorders, while only 50-70% of Chinese suicides had mental disorders. Using data from a case-control study on suicide attempt, we aimed to compare characteristics and risk factors between suicide attempters with and without mental disorders. Demographic and social psychological characteristics were compared between attempters with and without mental disorders. 19.1% of the suicide attempters were diagnosed with mental disorders. Suicide attempters with mental disorders endured more strain than those without. Strain was an independent risk factor for suicide attempt among people without mental disorders. Psychological strain might be an important reason for both mental disorders and following suicide attempt. More efforts on suicide prevention should be spent on people without mental disorders. The impact of social psychological factors, such as religion, negative life events, and psychological strains should be considered.
在西方，超过90%的自杀者可被诊断患有精神障碍，而在中国，只有50%-70%的自杀者患有精神障碍。利用一项自杀未遂病例对照研究的数据，我们旨在比较有精神障碍和无精神障碍的自杀未遂者的特征及风险因素。对有精神障碍和无精神障碍的未遂者的人口统计学和社会心理特征进行了比较。19.1%的自杀未遂者被诊断患有精神障碍。有精神障碍的自杀未遂者比没有精神障碍的人承受更多压力。压力是无精神障碍人群自杀未遂的一个独立风险因素。心理压力可能是导致精神障碍及随后自杀未遂的一个重要原因。预防自杀的更多努力应放在无精神障碍的人群上。应考虑宗教、负面生活事件和心理压力等社会心理因素的影响。
