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努纳武特的自杀:一个生命历程研究。

Suicides in Nunavik: a life course study.

机构信息

Department of Psychology and Psycho-education, Institut Universitaire En Santé Mentale Douglas, Montreal, Canada.

Université Du Québec En Outaouais (UQO), Gatineau, Canada.

出版信息

Int J Circumpolar Health. 2021 Dec;80(1):1880143. doi: 10.1080/22423982.2021.1880143.

DOI:10.1080/22423982.2021.1880143
PMID:33691591
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7954501/
Abstract

This study reports results of a life course study conducted with Inuit in Nunavik to obtain information on the life adversities and cumulative burden of adversity for three groups: those who died by suicide, those who attempted suicide, and those who experienced suicidal ideation but never attempted. The study involved different levels of collaboration between health authorities, front-line health workers and the research team. Results indicate that substance misuse and relational difficulties are most associated with the burden of adversity for those people who died by suicide, while bullying is most associated with the burden of adversity for those people who have made suicide attempts and those who have never made a suicide attempt. Specifically targeting parent-child relations, substance misuse, and bullying may be an important upstream strategy for reducing future suicidality in Nunavik.

摘要

本研究报告了一项在努纳武特地区因纽特人身上进行的生命历程研究的结果,旨在获取三组人群(自杀死亡者、自杀未遂者和有自杀意念但从未尝试过自杀者)的生活逆境和累积逆境负担的信息。该研究涉及卫生当局、一线卫生工作者和研究团队之间不同程度的合作。结果表明,对于自杀死亡者来说,物质滥用和人际关系困难与逆境负担最相关,而欺凌与自杀未遂者和从未尝试过自杀者的逆境负担最相关。特别针对亲子关系、物质滥用和欺凌行为,可能是减少努纳武特地区未来自杀行为的重要上游策略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2c45/7954501/bffe3886d2bf/ZICH_A_1880143_F0001_OC.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2c45/7954501/bffe3886d2bf/ZICH_A_1880143_F0001_OC.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2c45/7954501/bffe3886d2bf/ZICH_A_1880143_F0001_OC.jpg

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本文引用的文献

1
Suicide amongst the Inuit of Nunavut: An Exploration of Life Trajectories.努纳武特因纽特人的自杀问题:生命轨迹的探索。
Int J Environ Res Public Health. 2020 Mar 11;17(6):1812. doi: 10.3390/ijerph17061812.
2
A review of recent literature on the impact of parental substance use disorders on children and the provision of effective services.关于父母物质使用障碍对儿童的影响以及提供有效服务的近期文献综述。
Curr Opin Psychiatry. 2018 Jul;31(4):363-367. doi: 10.1097/YCO.0000000000000421.
3
Distinct emotion regulation skills explain psychopathology and problems in social relationships following childhood emotional abuse and neglect.
童年期情感虐待和忽视后,不同的情绪调节技能可以解释精神病理学和社交关系问题。
Dev Psychopathol. 2019 May;31(2):483-496. doi: 10.1017/S0954579418000020. Epub 2018 Mar 22.
4
Alcohol Consumption as a Risk Factor for Suicidal Behavior: A Systematic Review of Associations at the Individual and at the Population Level.饮酒作为自杀行为的风险因素:个体和人群水平关联的系统综述。
Arch Suicide Res. 2016 Oct-Dec;20(4):489-506. doi: 10.1080/13811118.2016.1158678. Epub 2016 Mar 8.
5
Best strategies for reducing the suicide rate in Australia.降低澳大利亚自杀率的最佳策略。
Aust N Z J Psychiatry. 2016 Feb;50(2):115-8. doi: 10.1177/0004867415620024. Epub 2015 Dec 23.
6
Suicide Among Inuit: Results From a Large, Epidemiologically Representative Follow-Back Study in Nunavut.因纽特人中的自杀情况:来自努纳武特地区一项大型、具有流行病学代表性的追溯研究的结果
Can J Psychiatry. 2015 Jun;60(6):268-75. doi: 10.1177/070674371506000605.
7
Developmental model of suicide trajectories.自杀轨迹的发展模型。
Br J Psychiatry. 2014 Aug;205(2):120-6. doi: 10.1192/bjp.bp.113.139949. Epub 2014 May 8.
8
Long-term effects of child abuse and neglect on emotion processing in adulthood.童年期虐待和忽视对成年期情绪加工的长期影响。
Child Abuse Negl. 2014 Aug;38(8):1369-81. doi: 10.1016/j.chiabu.2014.03.008. Epub 2014 Apr 18.
9
A psychological autopsy study of suicide among Inuit in Nunavut: methodological and ethical considerations, feasibility and acceptability.努纳武特地区因纽特人自杀的心理解剖研究:方法学与伦理学考量、可行性与可接受性
Int J Circumpolar Health. 2013;72:20078. doi: 10.3402/ijch.v72i0.20078. Epub 2013 Mar 26.
10
"The trauma experienced by generations past having an effect in their descendants": narrative and historical trauma among Inuit in Nunavut, Canada.“过去几代人所经历的创伤对其后代产生影响”:加拿大努纳武特地区因纽特人的叙事与历史创伤
Transcult Psychiatry. 2014 Jun;51(3):339-69. doi: 10.1177/1363461512467161. Epub 2013 Mar 7.