Department of Psychology, Sociology and Social Work, West Texas A&M University, Texas A&M University System, Amarillo, Canyon, Texas.
J Nerv Ment Dis. 2021 May 1;209(5):378-385. doi: 10.1097/NMD.0000000000001309.
Using the 2018 National Survey on Drug Use and Health, this study examined the US national prevalence rates of suicidal ideation (SI) and suicide attempts (SA) among four demographic adult groups (race-sex, age, education, and marital status) with and without major depressive episode (MDE). The highest prevalence rates of SI for those with and without MDE occurred among adults 18 to 25 years, with some college education, White females and males, and unmarried and never been married. Among the same demographic groups, proportions of SA were also the highest for those with MDE. A Pearson chi-square test confirmed significant associations between MDE and SI and between MDE and SA. The model fit results showed that the four variables were significant predictors of SI and SA (p < 0.05). Serious mental health needs are unmet, especially among adults with depression. Population-based clinical interventions are needed to reduce rates of depression, SI, and SA.
本研究利用 2018 年全国药物使用与健康调查的数据，考察了美国四个不同人口统计学群体（种族-性别、年龄、教育和婚姻状况）在患有和不患有重性抑郁发作（MDE）的情况下出现自杀意念（SI）和自杀企图（SA）的全国流行率。在患有和不患有 MDE 的成年人中，18 至 25 岁、具有一些大学学历、白种女性和男性、未婚和从未结婚的成年人出现 SI 的比例最高。在相同的人口统计学群体中，患有 MDE 的成年人出现 SA 的比例也最高。皮尔逊卡方检验证实了 MDE 与 SI 之间以及 MDE 与 SA 之间存在显著关联。模型拟合结果表明，这四个变量是 SI 和 SA 的显著预测因素（p < 0.05）。严重的心理健康需求未得到满足，特别是在患有抑郁症的成年人中。需要开展基于人群的临床干预，以降低抑郁、SI 和 SA 的发生率。
