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美国近期自杀死亡率的上升。

The Recent Rise of Suicide Mortality in the United States.

机构信息

Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY, USA; email:

Department of Psychiatry, La Paz University Hospital, Madrid, Spain.

出版信息

Annu Rev Public Health. 2022 Apr 5;43:99-116. doi: 10.1146/annurev-publhealth-051920-123206. Epub 2021 Oct 27.

Abstract

Suicide is a major public health concern in the United States. Between 2000 and 2018, US suicide rates increased by 35%, contributing to the stagnation and subsequent decrease in US life expectancy. During 2019, suicide declined modestly, mostly owing to slight reductions in suicides among Whites. Suicide rates, however, continued to increase or remained stable among all other racial/ethnic groups, and little is known about recent suicide trends among other vulnerable groups. This article () summarizes US suicide mortality trends over the twentieth and early twenty-first centuries, () reviews potential group-level causes of increased suicide risk among subpopulations characterized by markers of vulnerability to suicide, and () advocates for combining recent advances in population-based suicide prevention with a socially conscious perspective that captures the social, economic, and political contexts in which suicide risk unfolds over the life course of vulnerable individuals.

摘要

自杀是美国的一个主要公共卫生关注点。在 2000 年至 2018 年期间,美国的自杀率上升了 35%,导致美国的预期寿命停滞不前,随后出现下降。2019 年,自杀率略有下降,这主要是由于白人自杀人数略有减少。然而,在所有其他种族/族裔群体中,自杀率继续上升或保持稳定,人们对其他弱势群体最近的自杀趋势知之甚少。本文总结了 20 世纪和 21 世纪初美国自杀死亡率的趋势,()回顾了具有自杀脆弱性标志物的亚人群中自杀风险增加的潜在群体层面原因,并提倡将最近在基于人群的自杀预防方面取得的进展与一种社会意识相结合,这种意识可以捕捉到自杀风险在脆弱个人的整个生命周期中展开的社会、经济和政治背景。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f539/11107879/fb7d2e94cbdf/nihms-1948653-f0001.jpg

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