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自杀及其风险因素——一项生态研究。

Suicide and its risk factors - An ecological study.

作者信息

Muniyapillai Tamilarasan, Kulothungan Karthikeyan, Vignesh K Nawin Jai, Keerthi Cm Sathya, Godwyn Sherin Rosetta, Shivashankari S B, Bhonsle B Shivanjali Raje, Krishnakumar Shanmuga Priya, Suresh Shivani Devi

机构信息

Department of Community Medicine, Dhanalakshmi Srinivasan Medical College and Hospital, Perambalur, Tamil Nadu, India.

出版信息

J Educ Health Promot. 2024 Mar 28;13:84. doi: 10.4103/jehp.jehp_940_23. eCollection 2024.

Abstract

BACKGROUND

There is tremendous variation in both the prevalence of suicide and the factors that contribute to its occurrence across geographic locations, cultures, and time. Therefore, the present study aims to identify the various socio-demographic risk factors and psychosocial stressors using population data.

MATERIALS AND METHODS

The countries that were included in the study were based on data from the World Health Organization. We considered the top ten suicide countries and the ten lowest suicide nations. We searched five global databases for the most recent socio-demographic data and data on psychosocial stressors during the period of August and September 2022. We analyzed the correlation between suicide rates and various factors, and we considered a value of less than 0.05 to be statistically significant.

RESULTS

The correlation of suicide with sociodemographic factors like age ( 0.246), gender (male, 0.357, and female, 0.357), net enrolment rate ( 0.725), gender parity index ( 0.929), urban population percentage ( 0.571), marital status (male, 0.345, and female, 0.752), and literacy rate percentage ( 0.199) was not significant. The correlation of suicide with psychosocial stressors like unemployment percentage ( 0.552), alcoholism percentage ( 0.271), the prevalence of depression ( 0.523), the number of psychiatrists ( 0.605), the number of mental hospitals (r = -0.090, 0.713), and the poverty rate percentage ( 0.538) were also not significant.

CONCLUSION

Suicide is a major public health issue, yet global suicide data is scarce. Sociodemographic factors like age, urbanization, and literacy rate were negatively correlated, whereas psychosocial stressors like unemployment, alcohol misuse, and poverty were positively correlated, but none were significantly associated.

摘要

背景

自杀率以及导致自杀发生的因素在不同地理位置、文化和时间存在巨大差异。因此,本研究旨在利用人口数据确定各种社会人口风险因素和心理社会压力源。

材料与方法

本研究纳入的国家基于世界卫生组织的数据。我们考虑了自杀率最高的十个国家和自杀率最低的十个国家。我们在五个全球数据库中搜索了2022年8月和9月期间最新的社会人口数据和心理社会压力源数据。我们分析了自杀率与各种因素之间的相关性,并将p值小于0.05视为具有统计学意义。

结果

自杀与年龄(r = 0.246)、性别(男性,r = 0.357,女性,r = 0.357)、净入学率(r = 0.725)、性别平等指数(r = 0.929)、城市人口百分比(r = 0.571)、婚姻状况(男性,r = 0.345,女性,r = 0.752)和识字率百分比(r = 0.199)等社会人口因素的相关性不显著。自杀与失业率(r = 0.552)、酗酒率(r = 0.271)、抑郁症患病率(r = 0.523)、精神科医生数量(r = 0.605)、精神病医院数量(r = -0.090,p = 0.713)和贫困率百分比(r = 0.538)等心理社会压力源的相关性也不显著。

结论

自杀是一个重大的公共卫生问题,但全球自杀数据稀缺。年龄、城市化和识字率等社会人口因素呈负相关,而失业、酒精滥用和贫困等心理社会压力源呈正相关,但均无显著关联。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ceb0/11078457/949ca6af1c02/JEHP-13-84-g001.jpg

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