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感觉障碍与自杀意念及自杀未遂之间的关联:对具有全国代表性的英国家庭数据的横断面分析。

Association between sensory impairment and suicidal ideation and attempt: a cross-sectional analysis of nationally representative English household data.

作者信息

Khurana Maitri, Shoham Natalie, Cooper Claudia, Pitman Alexandra Laura

机构信息

Division of Psychiatry, UCL, London, UK.

Division of Psychiatry, UCL, London, UK

出版信息

BMJ Open. 2021 Feb 16;11(2):e043179. doi: 10.1136/bmjopen-2020-043179.

Abstract

OBJECTIVES

Sensory impairments are associated with worse mental health and poorer quality of life, but few studies have investigated whether sensory impairment is associated with suicidal behaviour in a population sample. We investigated whether visual and hearing impairments were associated with suicidal ideation and attempt.

DESIGN

National cross-sectional study.

SETTING

Households in England.

PARTICIPANTS

We analysed data for 7546 household residents in England, aged 16 and over from the 2014 Adult Psychiatric Morbidity Survey.

EXPOSURES

Sensory impairment (either visual or hearing), Dual sensory impairment (visual and hearing), visual impairment, hearing impairment.

PRIMARY OUTCOME

Suicidal ideation and suicide attempt in the past year.

RESULTS

People with visual or hearing sensory impairments had twice the odds of past-year suicidal ideation (OR 2.06; 95% CI 1.17 to 2.73; p<0.001), and over three times the odds of reporting past-year suicide attempt (OR 3.12; 95% CI 1.57 to 6.20; p=0.001) compared with people without these impairments. Similar results were found for hearing and visual impairments separately and co-occurring.

CONCLUSIONS

We found evidence that individuals with sensory impairments are more likely to have thought about or attempted suicide in the past year than individuals without.

摘要

目的

感觉障碍与较差的心理健康和较低的生活质量相关,但很少有研究调查在总体样本中感觉障碍是否与自杀行为有关。我们调查了视力和听力障碍是否与自杀意念及自杀未遂有关。

设计

全国性横断面研究。

地点

英格兰的家庭。

参与者

我们分析了来自2014年成人精神病患病率调查的7546名年龄在16岁及以上的英格兰家庭居民的数据。

暴露因素

感觉障碍(视力或听力)、双重感觉障碍(视力和听力)、视力障碍、听力障碍。

主要结局

过去一年中的自杀意念和自杀未遂。

结果

与无这些障碍的人相比,有视力或听力感觉障碍的人过去一年有自杀意念的几率是其两倍(比值比2.06;95%置信区间1.17至2.73;p<0.001),报告过去一年有自杀未遂的几率是其三倍多(比值比3.12;95%置信区间1.57至6.20;p=0.001)。单独及同时存在的听力和视力障碍也得到了类似结果。

结论

我们发现有证据表明,与无感觉障碍的个体相比,有感觉障碍的个体在过去一年更有可能有过自杀念头或尝试过自杀。

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