School of Social Work, University of North Carolina at Charlotte, Charlotte, North Carolina, USA.
Department of Social Work, Ohio University, Athens, Ohio, USA.
J Clin Psychol. 2022 Nov;78(11):2197-2213. doi: 10.1002/jclp.23437. Epub 2022 Aug 26.
This study aims to investigate the relative strength of association between vision impairment (VI) and suicidal ideation, plans, and attempts among adults in the United States.
The study sample consisted of 214,505 adults, aged 18 years and older. Researchers used data from the 2015-2019 National Survey on Drug Use and Health, in which respondents were asked whether they had any suicidal thoughts, plans, and attempts, in the past 12 months.
Approximately, 4.4% of respondents reported experiencing VI, being blind, or having serious difficulty seeing. Compared to their sighted peers, a relatively high proportion of adults with VI had serious thoughts about suicide (9.0%), suicidal plans (3.0%), or suicidal attempts (1.6%) in the past year. The findings showed that individuals with VI may disproportionately experience suicidal ideation, plans, and attempts, after controlling potentially confounding variables (adjusted odds ratio [AOR] = 1.36; AOR = 1.27; AOR = 1.40, respectively).
With findings demonstrating such a strong association between VI and suicide, this study suggests the importance of screening for suicidal ideation, plans, and attempts among adults with VI, and the strong need for developing behavioral health services which keep this correlation in mind.
本研究旨在调查美国成年人视力障碍（VI）与自杀意念、计划和尝试之间的关联强度。
研究样本由 214505 名 18 岁及以上的成年人组成。研究人员使用了 2015-2019 年全国药物使用与健康调查的数据，其中要求受访者在过去 12 个月内是否有任何自杀想法、计划和尝试。
约有 4.4%的受访者报告称经历过 VI、失明或严重视力障碍。与视力正常的同龄人相比，相当一部分视力障碍成年人在过去一年中曾有过严重的自杀念头（9.0%）、自杀计划（3.0%）或自杀尝试（1.6%）。研究结果表明，在控制潜在混杂变量后（调整后的优势比 [AOR] = 1.36；AOR = 1.27；AOR = 1.40），视力障碍个体可能不成比例地经历自杀意念、计划和尝试。
鉴于 VI 与自杀之间存在如此强烈的关联，本研究表明在 VI 成年人中筛查自杀意念、计划和尝试的重要性，以及强烈需要制定行为健康服务，牢记这种相关性。
