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罗马尼亚人口自杀意念的决定因素。

Determinants of Suicide Ideation in the Romanian Population.

机构信息

Department of Cellular and Molecular Biology, Iuliu Haṭieganu University of Medicine and Pharmacy, 400349 Cluj-Napoca, Romania.

Legal Medicine Institute, 400006 Cluj-Napoca, Romania.

出版信息

Int J Environ Res Public Health. 2022 Aug 20;19(16):10384. doi: 10.3390/ijerph191610384.

Abstract

BACKGROUND

Suicide ideation and behaviors are directly linked to the risk of death by suicide. In Romania, as well as worldwide, increased suicide rates were observed in the recent past, more so in the context of the COVID-19 pandemic. The purpose of this study was to investigate the influence of psychosocial factors, quality of life (QOL), and loneliness dimensions and adverse life antecedents on suicide ideation (SI) and prolonged sadness (PS).

METHODS

This cross-sectional quantitative research study used a CATI data gathering method to investigate 1102 randomly selected individuals over 18 years of age regarding various determinants of SI and PS. Data were collected in June 2021. Descriptive, inferential, and multivariate statistics were used for data analysis.

RESULTS

SI was negatively correlated with all the assessed psychosocial factors, more significantly with family relationships, wealth, health, social relationships, and affective life. Stronger correlations were observed when investigating the state of prolonged sadness, sex, and affective lives along with health and income, which were more influential. SI was negatively correlated with QOL and positively correlated with adverse life events and total loneliness scores. Lesser educated youngsters with reduced overall happiness and a history of depression, self-harm, and trauma were at greater risk of developing SI.

CONCLUSIONS

This is the first national study exploring the suicide ideation and prolonged sadness in relation to psychosocial factors, quality of life, and adverse life events. These results have important implications for suicide prevention programs, which should be designed in accordance with similar studies.

摘要

背景

自杀意念和行为与自杀风险直接相关。在罗马尼亚和全球范围内,自杀率在过去都有所上升,在 COVID-19 大流行期间更是如此。本研究旨在探讨心理社会因素、生活质量 (QOL)、孤独维度和不良生活经历对自杀意念 (SI) 和长期悲伤 (PS) 的影响。

方法

本横断面定量研究采用 CATI 数据收集方法,对 1102 名 18 岁以上的随机个体进行了各种 SI 和 PS 决定因素的调查。数据收集于 2021 年 6 月进行。采用描述性、推断性和多变量统计方法进行数据分析。

结果

SI 与所有评估的心理社会因素呈负相关,与家庭关系、财富、健康、社会关系和情感生活的相关性更强。在调查长期悲伤状态、性别以及健康和收入等更具影响力的因素时,相关性更强。SI 与 QOL 呈负相关,与不良生活事件和总孤独评分呈正相关。受教育程度较低、整体幸福感较低、有抑郁、自残和创伤史的年轻人患 SI 的风险更高。

结论

这是首次全国性研究,探讨了自杀意念和长期悲伤与心理社会因素、生活质量和不良生活事件的关系。这些结果对自杀预防计划具有重要意义,应根据类似研究设计这些计划。

相似文献

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Determinants of Suicide Ideation in the Romanian Population.罗马尼亚人口自杀意念的决定因素。
Int J Environ Res Public Health. 2022 Aug 20;19(16):10384. doi: 10.3390/ijerph191610384.
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Psychosocial distress and suicide ideation in Chinese and Philippine adolescents.中菲青少年的心理社会困扰和自杀意念。
Asia Pac J Public Health. 2011 Sep;23(5):774-91. doi: 10.1177/1010539509353113. Epub 2010 Nov 30.

本文引用的文献

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Neurobiology of suicide in times of social isolation and loneliness.社会隔离与孤独时期自杀的神经生物学
Eur Neuropsychopharmacol. 2020 Nov;40:1-3. doi: 10.1016/j.euroneuro.2020.10.009.
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Loneliness: A signature mental health concern in the era of COVID-19.孤独:新冠疫情时代的一个标志性心理健康问题。
Psychiatry Res. 2020 Aug;290:113117. doi: 10.1016/j.psychres.2020.113117. Epub 2020 May 23.
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Suicide in older adults: current perspectives.老年人自杀:当前的观点。
Clin Interv Aging. 2018 Apr 20;13:691-699. doi: 10.2147/CIA.S130670. eCollection 2018.

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