加拿大警察中的精神障碍、自杀意念、计划和尝试。
Mental disorders, suicidal ideation, plans and attempts among Canadian police.
机构信息
Office of Applied Research and Graduate Studies, Justice Institute of British Columbia, New Westminster, British Columbia, Canada.
Department of Sociology, Memorial University, St. John's, Newfoundland, Canada.
出版信息
Occup Med (Lond). 2020 May 27;70(3):183-190. doi: 10.1093/occmed/kqaa026.
BACKGROUND
Recent investigations have demonstrated a significant prevalence of mental health disorders, including post-traumatic stress disorder (PTSD), and suicidal ideation, plans and attempts among Canadian public safety personnel, including police officers. What remains unknown is the relationship between mental disorders and suicide among sworn police officers, and the prevalence of both among civilian police workers.
AIMS
To examine the relationship between suicidal ideation, plans and attempts and positive mental health screens for depression, anxiety, panic disorder, alcohol abuse and PTSD among Canadian sworn and civilian police employees.
METHODS
Participants completed an online survey that included self-report screening tools for depression, anxiety, panic disorder, alcohol abuse and PTSD. Respondents were also asked if they ever contemplated, planned or attempted suicide. Between-group (Royal Canadian Mounted Police [RCMP], provincial/municipal police and civilians) differences on mental health screening tools were calculated using Kruskal-Wallis analyses. The relationship between mental disorders and suicidal ideation, plans and attempts was evaluated with a series of logistic regressions.
RESULTS
There were 4236 civilian and sworn officer participants in the study. RCMP officers reported more suicidal ideation than other police and scored highest on measures of PTSD, depression, anxiety, stress and panic disorder, which were significantly associated with suicidal ideation and plans but not attempts. Relative to provincial and municipal police, civilians reported more suicide attempts and scored higher on measures of anxiety.
CONCLUSIONS
The results identify a strong relationship between mental health disorders and increased risk for suicidal ideation, plans and attempts among sworn and civilian Canadian police employees.
背景
最近的调查表明，加拿大公共安全人员（包括警察）中存在着相当比例的心理健康障碍，包括创伤后应激障碍（PTSD）和自杀意念、计划和尝试。目前尚不清楚的是，在宣誓警察中，精神障碍与自杀之间的关系，以及文职警察中这两者的流行程度。
目的
研究加拿大宣誓和文职警察员工中自杀意念、计划和尝试与抑郁、焦虑、惊恐障碍、酒精滥用和 PTSD 的积极心理健康筛查之间的关系。
方法
参与者完成了一项在线调查，其中包括抑郁、焦虑、惊恐障碍、酒精滥用和 PTSD 的自我报告筛查工具。受访者还被问到他们是否曾经考虑过、计划过或尝试过自杀。使用 Kruskal-Wallis 分析计算了心理健康筛查工具在组间（皇家骑警 [RCMP]、省/市警察和文职人员）的差异。使用一系列逻辑回归评估精神障碍与自杀意念、计划和尝试之间的关系。
结果
研究中有 4236 名文职和宣誓警官参与。RCMP 官员报告的自杀意念比其他警察多，并且在 PTSD、抑郁、焦虑、压力和惊恐障碍方面的得分最高，这些都与自杀意念和计划显著相关，但与尝试无关。与省级和市级警察相比，平民报告的自杀企图更多，焦虑方面的得分也更高。
结论
研究结果表明，在加拿大宣誓和文职警察员工中，心理健康障碍与自杀意念、计划和尝试的风险增加之间存在着很强的关系。
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