已婚成年人自杀风险因素：孟加拉国拉杰沙希市的横断面调查。
Risk factors of suicidality among married adults: A cross-sectional survey in Rajshahi City, Bangladesh.
机构信息
Medical Centre, University of Rajshahi, Rajshahi, Bangladesh.
Department of Biochemistry and Molecular Biology, University of Rajshahi, Rajshahi, Bangladesh.
出版信息
PLoS One. 2021 May 13;16(5):e0251717. doi: 10.1371/journal.pone.0251717. eCollection 2021.
BACKGROUND
Suicide is a serious public health concern all over the world including Bangladesh. About 9% of the patients admitted with suicidal ideation (SI) or suicide attempt (SA) later complete suicide. To understand and prevent suicide, the study of SI and SA is necessary but research in this area is scanty in Bangladesh. Therefore, we studied suicidality (SI and SA) among married adults in Rajshahi City, Bangladesh.
METHODS
This was a household cross-sectional study. A total of 708 married adults were selected for this study using a multi-stage random sampling. Suicidality was measured based on two factors: (i) suicidal ideation, and (ii) suicide attempt. Frequency distribution, Chi-square test and multiple binary logistic regression model were used in this study according to our objectives.
RESULTS
The prevalence of suicidal ideation, suicide attempt, and suicidality was 5.8%, 3.4%, and 8.3% respectively among married adults. A multiple binary logistic regression model provided the following risk factors of suicidality: (i) joint family (AOR = 0.310, p<0.01), (ii) ≥26 years of age at the first marriage (AOR = 0.379, p<0.05), (iii) twice or more marriage (AOR = 0.214, p<0.01), (iv) conjugal life of ≥16 years (AOR = 0.410, p<0.05), (v) having no child (AOR = 6.343, p<0.01) and (vi) having 1-2 children (AOR = 6.190, p<0.01), (vii) medical comorbidity (AOR = 0.421, p<0.01), (viii) mental comorbidity (AOR = 0.253, p<0.01), (ix) stress-anxiety (AOR = 0.311, p<0.01), (x) family history of mental disorders (AOR = 0.059, p<0.01), (xi) family history of suicide/suicide attempt (AOR = 0.009, p<0.01), (xii) substance abuse (AOR = 0.065, p<0.01), (xiii) poor relationship with spouse (AOR = 0.209, p<0.01), and (xiv) poor relationship with other family members (AOR = 0.347, p<0.05).
CONCLUSION
The prevalence of suicidality is remarkable in Rajshahi city, Bangladesh. The government and non-government agencies can use the findings of this study to identify the vulnerable groups and undertake measures for preventing and reducing suicidality.
背景
自杀是一个严重的公共卫生问题，在全世界包括孟加拉国都存在。大约有 9%的有自杀意念（SI）或自杀未遂（SA）的住院患者最终会自杀。为了了解和预防自杀，有必要对 SI 和 SA 进行研究，但在孟加拉国，这方面的研究很少。因此，我们研究了孟加拉国拉杰沙希市已婚成年人的自杀意念和自杀未遂情况。
方法
这是一项家庭横断面研究。我们使用多阶段随机抽样方法，共选择了 708 名已婚成年人进行这项研究。自杀意念和自杀未遂的评估基于两个因素：（i）自杀意念，（ii）自杀未遂。根据我们的研究目的，本研究采用了频率分布、卡方检验和多变量二元逻辑回归模型。
结果
在已婚成年人中，自杀意念、自杀未遂和自杀意念和自杀未遂的患病率分别为 5.8%、3.4%和 8.3%。多变量二元逻辑回归模型提供了以下自杀意念和自杀未遂的风险因素：（i）联合家庭（AOR=0.310，p<0.01），（ii）初婚年龄≥26 岁（AOR=0.379，p<0.05），（iii）两次或多次婚姻（AOR=0.214，p<0.01），（iv）婚姻生活≥16 年（AOR=0.410，p<0.05），（v）无子女（AOR=6.343，p<0.01）和（vi）有 1-2 个子女（AOR=6.190，p<0.01），（vii）合并躯体疾病（AOR=0.421，p<0.01），（viii）合并精神疾病（AOR=0.253，p<0.01），（ix）应激焦虑（AOR=0.311，p<0.01），（x）精神障碍家族史（AOR=0.059，p<0.01），（xi）自杀/自杀未遂家族史（AOR=0.009，p<0.01），（xii）物质滥用（AOR=0.065，p<0.01），（xiii）与配偶关系不佳（AOR=0.209，p<0.01），以及（xiv）与其他家庭成员关系不佳（AOR=0.347，p<0.05）。
结论
孟加拉国拉杰沙希市的自杀意念和自杀未遂率令人瞩目。政府和非政府机构可以利用本研究的结果来确定脆弱群体，并采取措施预防和减少自杀意念和自杀未遂。
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