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与亲密伴侣问题相关的自杀事件的促成因素。

Precipitating Circumstances Associated With Intimate Partner Problem-Related Suicides.

机构信息

Division of Violence Prevention, Centers for Disease Control and Prevention, Atlanta, Georgia.

Department of Health Behavior, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.

出版信息

Am J Prev Med. 2023 Sep;65(3):385-394. doi: 10.1016/j.amepre.2023.03.011. Epub 2023 Mar 16.

Abstract

INTRODUCTION

In 2020, suicide was the 12th leading cause of death among adults in the U.S. Previous research has shown that one common precipitating circumstance among adult suicide decedents is experiencing intimate partner problems (IPPs), such as divorce, separation, romantic break-ups, arguments, conflicts, and intimate partner violence. This study examines how precipitating factors differ between IPP- and non-IPP-related suicides.

METHODS

In 2022, this study analyzed National Violent Death Reporting System data from adult suicide decedents in 48 states and 2 territories between 2003 and 2020. Multivariable logistic regression models were used to compare precipitating circumstances between IPP- and non-IPP-related suicides, controlling for sociodemographic characteristics.

RESULTS

Of the 402,391 suicides, 20% (n=80,717) were known to be IPP-related. Circumstances that significantly increased the odds of IPP-related suicides included a history of suicidal thoughts and attempts and mental health problems (depressed mood, alcohol problem, mental health diagnosis), life stressors (interpersonal violence perpetration and victimization, arguments, financial problems, job problems, family problems), and recent legal problems. Non-IPP-related suicides were more likely to occur among older individuals and to be precipitated by a physical health problem or crime.

CONCLUSIONS

The findings can inform prevention strategies that build resiliency and problem-solving skills, strengthen economic support, and identify and assist people at risk for IPP-related suicides. The Centers for Disease Control and Prevention's Suicide Resource for Action and Intimate Partner Violence Prevention resource packages highlight the best available evidence for policies, programs, and practices related to preventing suicides and IPP.

摘要

引言

2020 年,自杀是美国成年人第 12 大死因。先前的研究表明,成年人自杀死者中常见的一个诱发情况是经历亲密伴侣问题 (IPP),例如离婚、分居、浪漫关系破裂、争吵、冲突和亲密伴侣暴力。本研究探讨了诱发因素在 IPP 相关和非 IPP 相关自杀中的差异。

方法

2022 年,本研究分析了 2003 年至 2020 年间来自美国 48 个州和 2 个地区的国家暴力死亡报告系统中成年人自杀死者的数据。多变量逻辑回归模型用于比较 IPP 相关和非 IPP 相关自杀中的诱发情况,并控制了社会人口特征。

结果

在 402391 例自杀中,20%(n=80717)已知与 IPP 相关。显著增加 IPP 相关自杀几率的情况包括有自杀念头和企图以及心理健康问题(情绪低落、酒精问题、心理健康诊断)、生活压力源(人际暴力实施和受害、争吵、财务问题、工作问题、家庭问题)以及最近的法律问题。非 IPP 相关自杀更可能发生在年龄较大的个体中,并由身体健康问题或犯罪引发。

结论

这些发现可以为预防策略提供信息,这些策略可以增强韧性和解决问题的能力,加强经济支持,并识别和帮助有 IPP 相关自杀风险的人。疾病控制与预防中心的自杀行动资源包和亲密伴侣暴力预防资源包突出了与预防自杀和 IPP 相关的政策、计划和实践的最佳现有证据。

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