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2007年至2019年间爱尔兰医院收治的未遂上吊和溺水案例的负担：一项基于国家登记处的研究。

The burden of attempted hanging and drowning presenting to hospitals in Ireland between 2007 and 2019: a national registry-based study.

作者信息

White Philippa, Corcoran Paul, Griffin Eve, Arensman Ella, Barrett Peter

机构信息

Department of Public Health (Cork & Kerry), HSE-South, St Finbarr's Hospital, Douglas Road, Cork, Ireland.

National Suicide Research Foundation, 4 Western Gateway Building, Western Road, Mardyke, Cork, Ireland.

出版信息

Soc Psychiatry Psychiatr Epidemiol. 2024 Feb;59(2):235-244. doi: 10.1007/s00127-023-02525-w. Epub 2023 Jul 31.

DOI:10.1007/s00127-023-02525-w
PMID:37525008
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10838814/
Abstract

PURPOSE

To measure the impact of hospital-treated self-harm by hanging and drowning in Ireland in 2007-2019 and identify risk factors for these methods of self-harm.

METHOD

Data on all self-harm presentations to Irish hospitals between 2007 and 2019 were obtained from the National Self-Harm Registry Ireland, a national self-harm surveillance system. Multinomial regression was used to explore factors associated with attempted hanging and drowning.

RESULTS

The age-standardised incidence rate of attempted hanging and drowning increased by 126% and 45%, respectively, between 2007 and 2019. The incidence of both methods was highest among young people aged 15-24 years. The odds of presenting to hospital for attempted hanging were highest in males (aOR 2.85, 95% CI 2.72-3.00), people experiencing homelessness (aOR 1.32, 95% CI 1.16-1.49) and individuals living in the capital, Dublin (aOR 1.23, 95% CI 1.17-1.29). The odds of presenting for attempted drowning were highest in males (aOR 1.68, 95% CI 1.58-1.78) and people experiencing homelessness (aOR 2.69, 95% CI 2.41-2.99).

CONCLUSION

The incidence of hospital-treated self-harm by hanging and drowning is increasing in Ireland and is highest among adolescents and young adults. Males and people experiencing homelessness may be at highest risk and warrant targeted preventive interventions.

摘要

目的

评估2007年至2019年爱尔兰医院收治的上吊和溺水所致自残的影响，并确定这些自残方式的风险因素。

方法

从爱尔兰国家自残登记处（一个国家自残监测系统）获取2007年至2019年期间爱尔兰医院所有自残就诊数据。采用多项回归分析探讨与上吊和溺水未遂相关的因素。

结果

2007年至2019年期间，上吊和溺水未遂的年龄标准化发病率分别上升了126%和45%。两种方式的发病率在15至24岁的年轻人中最高。因上吊未遂到医院就诊的几率在男性中最高（调整后比值比为2.85，95%置信区间为2.72 - 3.00）、无家可归者中（调整后比值比为1.32，95%置信区间为1.16 - 1.49）以及居住在首都都柏林的个体中（调整后比值比为1.23，95%置信区间为1.17 - 1.29）。因溺水未遂到医院就诊的几率在男性中最高（调整后比值比为1.68，95%置信区间为1.58 - 1.78）和无家可归者中（调整后比值比为2.69，95%置信区间为2.41 - 2.99）。

结论

在爱尔兰，医院收治的上吊和溺水所致自残的发病率在上升，且在青少年和年轻人中最高。男性和无家可归者可能风险最高，需要有针对性的预防干预措施。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/586b/10838814/17c9fec2edb5/127_2023_2525_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/586b/10838814/17c9fec2edb5/127_2023_2525_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/586b/10838814/17c9fec2edb5/127_2023_2525_Fig1_HTML.jpg

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Patients with first versus multiple episodes of self-harm: how do their profiles differ?首次自伤与多次自伤患者：他们的特征有何不同？
Ann Gen Psychiatry. 2021 May 13;20(1):30. doi: 10.1186/s12991-021-00351-5.
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The Werther Effect, the Papageno Effect or No Effect? A Literature Review.
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BMJ. 2020 Mar 18;368:m575. doi: 10.1136/bmj.m575.
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The effects of interventions preventing self-harm and suicide in children and adolescents: an overview of systematic reviews.预防儿童和青少年自我伤害及自杀的干预措施的效果：系统评价概述
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