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有或无重度抑郁发作的非裔美国男性中自杀意念、自杀计划及自杀未遂的协变量健康决定因素

Covariate Health Determinants of Suicidal Ideation, Suicide Plans, and Suicide Attempts Among African American Males With and Without Major Depressive Episode.

作者信息

Omary Areen, Richardson Uganda, Chambers Tameka

出版信息

Arch Suicide Res. 2023 Apr-Jun;27(2):280-294. doi: 10.1080/13811118.2021.1989350. Epub 2021 Oct 20.

DOI:10.1080/13811118.2021.1989350
PMID:34669554
Abstract

This study aimed to examine risk of suicidal ideation, suicide plans, and suicide attempts among African American males with and without major depressive episodes while adjusting for covariates of age, education, and income. Data from the 2018 National Survey on Drug Use and Health were extracted and analyzed. We found data for 2,301 adult African American men with and without major depressive episodes, representing a population size of 13,210,069.53 in the United States. African American men with major depressive episodes were at higher risk for suicidal ideation and suicide planning than their counterparts without a major depressive episode. However, the two groups with and without major depressive episodes had equal risk chances for suicide attempts. A closer examination of suicide covariate variables among African American men with and without a major depressive episode furnishes critical distinctions between the two populations. This subtle distinction can facilitate more responsive, tailored suicide-prevention strategies for the male African American population, especially among the at-risk male adults in this group with major depressive episodes.HighlightsMajor depressive episodes significantly predicted suicidal ideation and suicide plans among African American males.After adjustment for covariates, African American males with major depressive episodes had a higher risk of suicidal ideation and suicide plans than their counterparts without a major depressive episode.After adjustment for covariates, the risk of suicide attempts remained equal among African American males.

摘要

本研究旨在调查有和没有重度抑郁发作的非裔美国男性中自杀意念、自杀计划和自杀未遂的风险,同时对年龄、教育程度和收入等协变量进行调整。提取并分析了2018年全国药物使用和健康调查的数据。我们找到了2301名有和没有重度抑郁发作的成年非裔美国男性的数据,在美国代表的人口规模为13210069.53。有重度抑郁发作的非裔美国男性比没有重度抑郁发作的男性有更高的自杀意念和自杀计划风险。然而,有和没有重度抑郁发作的两组在自杀未遂方面有相同的风险几率。对有和没有重度抑郁发作的非裔美国男性的自杀协变量进行更仔细的检查,揭示了这两个人群之间的关键差异。这种细微的差异可以为非裔美国男性群体,特别是该群体中有重度抑郁发作的高危成年男性,促进更有针对性、量身定制的自杀预防策略。

重点

重度抑郁发作显著预测了非裔美国男性的自杀意念和自杀计划。

在对协变量进行调整后,有重度抑郁发作的非裔美国男性比没有重度抑郁发作的男性有更高的自杀意念和自杀计划风险。

在对协变量进行调整后,非裔美国男性的自杀未遂风险仍然相同。

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