Johns Lily, Zhong Chuwen, Mezuk Briana
Center for Social Epidemiology and Population Health, Department of Epidemiology, University of Michigan School of Public Health, Ann Arbor, MI 48109, USA.
J Psychiatr Brain Sci. 2023;8(1). doi: 10.20900/jpbs.20230003. Epub 2023 Mar 2.
Suicide and suicidal behaviors are important global health concerns. Preventing suicide requires a nuanced understanding of the nature of suicide risk, both acutely during periods of crisis and broader variation over the lifespan. However, current knowledge of the sources of variation in suicide risk is limited due to methodological and conceptual challenges. New methodological approaches are needed to close the gap between research and clinical practice. This review describes the life course framework as a conceptual model for organizing the scientific study of suicide risk across in four major domains: social relationships, health, housing, and employment. In addition, this review discusses the utility of data science tools as a means of identifying novel, modifiable risk factors for suicide, and triangulation as an overarching approach to ensuring rigor in suicide research as means of addressing existing knowledge gaps and strengthening future research.
自杀及自杀行为是全球重要的健康问题。预防自杀需要对自杀风险的本质有细致入微的理解,既要了解危机期间急性发作时的情况,也要了解整个生命周期中更广泛的变化情况。然而,由于方法和概念上的挑战,目前关于自杀风险变化来源的知识有限。需要新的方法来弥合研究与临床实践之间的差距。本综述将生命历程框架描述为一个概念模型,用于组织对自杀风险的科学研究,该研究涵盖四个主要领域:社会关系、健康、住房和就业。此外,本综述还讨论了数据科学工具作为识别新的、可改变的自杀风险因素的手段的效用,以及三角测量法作为确保自杀研究严谨性的总体方法,以此来弥补现有知识空白并加强未来研究。