评估心理健康障碍与自杀之间的关联：对美国研究中常见偏差来源、挑战及机遇的综述
Estimating the association between mental health disorders and suicide: a review of common sources of bias and challenges and opportunities for US-based research.
作者信息
Caves Sivaraman Josie J, Naumann Rebecca B
机构信息
Department of Epidemiology and Injury Prevention Research Center, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
出版信息
Curr Epidemiol Rep. 2020 Dec;7(4):352-362. doi: 10.1007/s40471-020-00250-5. Epub 2020 Oct 1.
PURPOSE OF REVIEW
The purpose of this review is to 1) illuminate prevalent methodological approaches and estimates of association between mental health diagnoses and suicide from the meta-analytic literature; 2) discuss key internal and external validity concerns with these estimates; and 3) highlight some of the unique attributes and challenges in US-based suicide research and opportunities to move the evidence base forward.
RECENT FINDINGS
Globally, there is considerable variability in measures of association between mental health disorders and suicide and a growing debate over methodological approaches to this research. A high suicide incidence makes the US an outlier, and the decentralized nature of US administrative data poses a unique challenge to data linkage that could otherwise advance this research.
SUMMARY
We offer methodological considerations for future research and discuss opportunities made possible by the recent expansion of the US National Violent Death Reporting System to a nationwide registry.
综述目的
本综述的目的是：1）从荟萃分析文献中阐明心理健康诊断与自杀之间关联的普遍方法学途径和估计值；2）讨论这些估计值的关键内部和外部效度问题；3）强调美国自杀研究中的一些独特属性和挑战以及推动证据基础向前发展的机会。
最新发现
在全球范围内，心理健康障碍与自杀之间关联的测量方法存在很大差异，并且围绕该研究的方法学途径的争论日益激烈。美国的自杀发生率很高，这使其成为一个异类，而且美国行政数据的分散性质给数据链接带来了独特挑战，否则数据链接本可推动这项研究。
总结
我们为未来研究提供了方法学上的考虑，并讨论了美国国家暴力死亡报告系统最近扩展为全国登记处所带来的机会。
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