Nossal Institute for Global Health, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, VIC, Australia.
Department of Psychiatry, University of Rochester Medical Center, Rochester, NY, USA.
Aust N Z J Psychiatry. 2020 Aug;54(8):797-807. doi: 10.1177/0004867420924098. Epub 2020 May 23.
We aimed to examine whether suicidal thoughts and behaviour were independently associated with a wide range of health and social risk behaviours.
We conducted cross-sectional analyses of data collected from 13,763 adult males who participated in The Australian Longitudinal Study on Male Health. We fit generalised linear models to estimate the relative risk of engaging in a range of health and social risk behaviours across several domains by suicidal thoughts and behaviour status.
Men with recent suicidal ideation (relative risk range, 1.10-5.25) and lifetime suicide attempts (relative risk range, 1.10-7.65) had a higher risk of engaging in a broad range of health and social risk behaviours. The associations between suicidal thoughts and behaviour and health and social risk behaviours were typically independent of socio-demographics and in many cases were also independent of depressive symptoms.
Suicidal thoughts and behaviour overlaps with increased risk of engagement in a wide range of health and social risk behaviours, indicating the need for an alignment of broader public health interventions within clinical and community-based suicide prevention activities. The experience of suicidality may be an important catalyst for a broader psychosocial conversation and assessment of health and social risk behaviours, some of which may be modifiable. These behaviours may not carry an imminent risk of premature death, such as from suicide, but they carry profound health and social consequences if left unaddressed.
本研究旨在探讨自杀意念和行为是否与广泛的健康和社会风险行为独立相关。
我们对 13763 名参与澳大利亚男性健康纵向研究的成年男性的数据进行了横断面分析。我们拟合了广义线性模型，以评估在多个领域中，根据自杀意念和行为状态，参与一系列健康和社会风险行为的相对风险。
近期有自杀意念的男性（相对风险范围，1.10-5.25）和有自杀未遂史的男性（相对风险范围，1.10-7.65）参与广泛的健康和社会风险行为的风险更高。自杀意念和行为与健康和社会风险行为之间的关联通常独立于社会人口统计学因素，在许多情况下也独立于抑郁症状。
自杀意念和行为与参与广泛的健康和社会风险行为的风险增加有关，这表明需要在临床和社区自杀预防活动中整合更广泛的公共卫生干预措施。出现自杀意念可能是更广泛的心理社会问题讨论和健康及社会风险行为评估的重要催化剂，其中一些行为是可以改变的。这些行为可能不会立即导致过早死亡，如自杀，但如果不加以处理，它们会产生深远的健康和社会后果。
