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中国网络直播自杀的流行病学特征和行为:对有针对性预防策略的启示。

Epidemiological characteristics and behaviors of online broadcast suicidality in China: implications for targeted prevention strategies.

机构信息

Psychosomatic Medical Center, The Fourth People's Hospital of Chengdu, Chengdu, China.

Psychosomatic Medical Center, The Clinical Hospital of Chengdu Brain Science Institute, MOE Key Lab for Neuroinformation, University of Electronic Science and Technology of China, Chengdu, China.

出版信息

Front Public Health. 2024 May 7;12:1396460. doi: 10.3389/fpubh.2024.1396460. eCollection 2024.

Abstract

OBJECTIVES

Suicide is a global health concern, exacerbated by stigma around mental illnesses. Online platforms like Twitter and Sina Weibo have seen a rise in "online broadcast suicide," where individuals share suicidal thoughts and actions. However, there is limited understanding of the epidemiological characteristics, particularly in China. This study aims to analyze the demographics and behaviors of individuals engaging in online broadcast suicide in China to inform targeted prevention strategies.

METHODS

A total of 525 incidents were identified through systematic retrieval of relevant news reports from online sources. Subsequently, a content analysis was performed on these reports to extract detailed information on the characteristics of each individual incident.

RESULTS

Among the incidents analyzed, the male-to-female ratio was 1:1.6, with an average age of 23.1 ± 5.9 years. Approximately 71.9% took place in Southern China. Unemployment was reported in 15.0% of incidents. Relationship breakup (62.3%) was cited as the leading cause of suicide. Wrist cutting (58.2%) emerged as the predominant suicide method, and home (36.2%) was the most common location for these tragic events. Instant messaging apps were the primary platforms (54.7%) for conveying suicidal thoughts and actions. Additionally, among the 525 incidents examined, 12.0% disclosed having a mental disorder, and 7.6% had a history of prior suicide attempts. Significant variations were observed across age, gender, region, and occupation categories.

CONCLUSION

This study emphasizes the importance of developing suicide prevention programs for internet users. Besides, interventions should be customized to meet the specific needs of various populations.

摘要

目的

自杀是一个全球性的健康问题,由于对精神疾病的污名化而加剧。Twitter 和新浪微博等在线平台上出现了“在线直播自杀”现象,个人分享自杀念头和行为。然而,对于这种现象的流行病学特征,尤其是在中国,了解有限。本研究旨在分析中国参与在线直播自杀的个体的人口统计学特征和行为,为有针对性的预防策略提供信息。

方法

通过系统检索在线来源的相关新闻报道,共确定了 525 起事件。随后,对这些报道进行内容分析,提取每个个体事件的特征详细信息。

结果

在所分析的事件中,男女比例为 1:1.6,平均年龄为 23.1±5.9 岁。大约 71.9%发生在中国南方。15.0%的事件报告失业。关系破裂(62.3%)被认为是自杀的主要原因。割腕(58.2%)是主要的自杀方式,家(36.2%)是这些悲剧事件最常见的地点。即时通讯应用程序是传达自杀念头和行为的主要平台(54.7%)。此外,在所检查的 525 起事件中,12.0%透露有精神障碍,7.6%有过自杀未遂史。在年龄、性别、地区和职业类别方面观察到显著差异。

结论

本研究强调了为互联网用户制定自杀预防计划的重要性。此外,干预措施应根据不同人群的具体需求进行定制。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ccc4/11106420/d98c2d923f2a/fpubh-12-1396460-g001.jpg

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