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孟加拉国人群中新冠病毒病自杀行为的患病率及风险因素:医护人员面临的风险更高吗?

Prevalence and risk factors of COVID-19 suicidal behavior in Bangladeshi population: are healthcare professionals at greater risk?

作者信息

Mamun Mohammed A, Akter Tahmina, Zohra Fatematuz, Sakib Najmuj, Bhuiyan A K M Israfil, Banik Palash Chandra, Muhit Mohammad

机构信息

Centre for Health Innovation, Networking, Training, Action and Research - Bangladesh, Dhaka, Bangladesh.

Department of Public Health and Informatics, Jahangirnagar University, Savar, Dhaka, Bangladesh.

出版信息

Heliyon. 2020 Oct;6(10):e05259. doi: 10.1016/j.heliyon.2020.e05259. Epub 2020 Oct 14.

Abstract

BACKGROUND

Current COVID-19 researches suggest that both general population and health-care providers (HCPs) are at risk of elevated psychological sufferings including suicidality. However, suicidality has not been addressed properly, although mental health problems are studied globally. Besides, the extreme fear of COVID-19 infection is being existed among the Bangladeshi HCPs, that is reported by a recent patients' suicide because of HCPs treatment negligence.

METHODS

A web-based cross-sectional study was administered through the social media platforms. A total 3,388 respondents took part in the survey (mean age 30.1 ± 6.4 years) among them 834 were frontline HCPs (30.7 ± 5.6 years). The measures included socio-demographics, PPE-related and patient-care related information and a question concerned with the COVID-19 suicidal behavior.

RESULTS

About 6.1% of the total participants had suicidal behavior, with no detectable differences within the groups (i.e., general population and HCPs). Regression analysis showed that being female, being divorced, and having no child were emerged as independent predictors for suicidality. There was no significant association between the PPE-related or patient-care related variables and suicidal behavior of the HCPs. Majority of the participants sometimes had fear of death although no significant relation of the factor was found with suicidality.

LIMITATIONS

The study can be limited because of its nature (i.e., cross-sectional self-reporting online survey) and not considering non-COVID-19 related suicide risk factors etc.

CONCLUSIONS

The present findings identified the substantial proportion of the HCPs and general population had COVID 19 related suicidal behavior. It can be used to advocate a large-scale suicide safety plan using a multidisciplinary approach herein.

摘要

背景

当前关于新冠病毒病(COVID-19)的研究表明,普通人群和医护人员都面临心理痛苦加剧的风险,包括自杀倾向。然而,尽管全球都在研究心理健康问题,但自杀倾向尚未得到妥善解决。此外,孟加拉国的医护人员对感染COVID-19极度恐惧,最近有患者因医护人员的治疗疏忽而自杀的报道。

方法

通过社交媒体平台进行了一项基于网络的横断面研究。共有3388名受访者参与了调查(平均年龄30.1±6.4岁),其中834名是一线医护人员(30.7±5.6岁)。调查内容包括社会人口统计学、个人防护装备(PPE)相关和患者护理相关信息,以及一个与COVID-19自杀行为有关的问题。

结果

约6.1%的总参与者有自杀行为,各群体(即普通人群和医护人员)之间未发现明显差异。回归分析表明,女性、离婚和没有孩子是自杀倾向的独立预测因素。医护人员的PPE相关或患者护理相关变量与自杀行为之间没有显著关联。大多数参与者有时会对死亡感到恐惧,尽管未发现该因素与自杀倾向有显著关系。

局限性

由于研究性质(即横断面在线自我报告调查)以及未考虑与COVID-19无关的自杀风险因素等,该研究可能存在局限性。

结论

目前的研究结果表明,相当一部分医护人员和普通人群有与COVID-19相关的自杀行为。本研究结果可用于倡导在此采用多学科方法制定大规模自杀安全计划。

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