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财务债务与自杀:瑞典执行局登记人群的 1 年随访研究。

Financial indebtedness and suicide: A 1-year follow-up study of a population registered at the Swedish Enforcement Authority.

机构信息

School of Social Sciences, Södertörn University, Huddinge, Sweden.

出版信息

Int J Soc Psychiatry. 2022 Nov;68(7):1445-1453. doi: 10.1177/00207640211036166. Epub 2021 Aug 2.

DOI:10.1177/00207640211036166
PMID:34340574
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9548947/
Abstract

BACKGROUND

Economic hardship is an established suicidogenic factor. However, very little is known about whether financial difficulties in terms of debt problems, specifically, is related to suicide. This would seem to be an important research gap, not least at a time when the repercussions of the global financial crisis are still being felt by many people.

AIMS

This study sets out to examine whether experiencing financial indebtedness is related to suicide.

METHODS

For this purpose, people aged between 18 and 64 with a registration date for a debt in the Swedish Enforcement Authority register between 2015 and 2017 ( = 180,842) are followed up for a 1-year period for death by suicide and compared with a sample from the general Swedish population ( = 928,265). The analysis is based on penalized maximum likelihood logistic regressions.

RESULTS

Those who had experienced financial indebtedness were two and a half times more likely to commit suicide than those who had not lived through this experience (OR = 2.50), controlling for several demographic, socio-economic, and mental health conditions prior to the date of the registration at the Enforcement Authority.

CONCLUSION

Debt repayment problems have a significant and detrimental impact on individuals' risk of committing suicide, even when several other socioeconomic risk factors are controlled for. The results reinforce the importance of ongoing attempts to remove the issue of debt problem from its status as a rather hidden suicidogenic risk factor.

摘要

背景

经济困难是一个既定的自杀因素。然而,人们对债务问题等财务困难是否与自杀有关知之甚少。这似乎是一个重要的研究空白,尤其是在全球金融危机的影响仍在许多人身上显现的时候。

目的

本研究旨在检验经历财务负债是否与自杀有关。

方法

为此,在 2015 年至 2017 年期间,对瑞典执行机构登记册中登记有债务的 18 至 64 岁人群( = 180,842 人)进行为期 1 年的随访,以观察自杀死亡情况,并与瑞典普通人群样本( = 928,265 人)进行比较。分析基于惩罚最大似然逻辑回归。

结果

那些经历过财务负债的人自杀的可能性是没有经历过这种情况的人的两倍半(OR = 2.50),控制了在执行机构登记日期之前的几个人口统计学、社会经济和心理健康状况。

结论

债务偿还问题对个人自杀风险有显著的不利影响,即使控制了其他几个社会经济风险因素也是如此。这些结果强调了持续努力将债务问题从隐藏的自杀风险因素地位中消除的重要性。

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Unconditional or Conditional Logistic Regression Model for Age-Matched Case-Control Data?年龄匹配的病例对照数据应采用无条件还是条件逻辑回归模型?
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