School of Psychology, Department of Psychological Interventions, University of Surrey, Guildford, GU2 7XH, UK.
School of Social Sciences and Humanities, University of Westminster, London, W1W 6UW, UK.
J Urban Health. 2022 Jun;99(3):385-408. doi: 10.1007/s11524-022-00611-z. Epub 2022 Apr 4.
We conducted a systematic review to answer the following: (a) Is there any evidence to support increased prevalence of suicidality and self-harm (i.e. self-harm or suicidality) in urban versus rural environments? (b) What aspects of the urban environment pose risk for suicidality and self-harm? Thirty-five studies met our criteria. Our findings reflect a mixed picture, but with a tendency for urban living to be associated with an increased risk of suicidality and self-harm over rural living, particularly for those living in deprived areas. Further research should focus on the clustering and additive effects of risk and protective factors for suicidality and self-harm in urban environments.
我们进行了系统评价，以回答以下问题：（a）是否有证据支持城市环境与农村环境相比，自杀意念和自伤（即自伤或自杀意念）的发生率更高？（b）城市环境的哪些方面构成自杀意念和自伤的风险？有 35 项研究符合我们的标准。我们的研究结果反映出一种复杂的情况，但城市生活与农村生活相比，自杀意念和自伤的风险增加，尤其是对于那些生活在贫困地区的人。进一步的研究应集中在城市环境中自杀意念和自伤的风险和保护因素的聚类和附加效应上。
