Kumar Suneel, Lata Swaran, Verma Saroj
Dept. of Psychology, Faculty of Social Sciences, Banaras Hindu University, Varanasi, Uttar Pradesh, India.
Indian J Psychol Med. 2024 Jul;46(4):298-304. doi: 10.1177/02537176231209513. Epub 2024 Jan 11.
Suicide is common among persons with physical disabilities as they face several physical, social, psychological, and economic problems. They are at risk for suicidal thoughts, behaviors, and death by suicide. We aimed to systematically review empirically published articles and identify the associated factors of suicidal ideation and suicide attempts in persons with physical disabilities.
A systematic search was carried out on the literature published from January 1, 2000 to January 19, 2023 in PubMed, Cochrane, Web of Science, Google Scholar, Shodh Ganga, and so on. All the synonyms of keywords or MeSH terms for suicidal ideation, suicide attempt, and physical disability were used. Two hundred thirty-six articles were found, and after following inclusion and exclusion criteria, 12 remained.
The associated factors of suicidal behavior were disability status (11/12 studies), burdensomeness (8/12 studies), felt stigma (4/12 studies), depressive symptoms (6/12 studies), loneliness (2/12 studies), lack of social and emotional connectedness (2/12 studies), long-term physical or mental disability (2/12 studies), congenital disability (1/12 studies), and aggression (1/12 studies).
Timely, evidence-based, low-cost interventions can provide great assistance and address the specific needs of this vulnerable population as they have higher risk for suicidal behavior.
自杀在身体残疾者中很常见，因为他们面临着一些身体、社会、心理和经济问题。他们有产生自杀念头、实施自杀行为及自杀死亡的风险。我们旨在系统回顾实证发表的文章，并确定身体残疾者自杀意念和自杀未遂的相关因素。
对2000年1月1日至2023年1月19日在PubMed、Cochrane、科学网、谷歌学术、Shodh Ganga等数据库发表的文献进行系统检索。使用了自杀意念、自杀未遂和身体残疾的关键词或医学主题词（MeSH）的所有同义词。共找到236篇文章，经过遵循纳入和排除标准后，剩下12篇。
自杀行为的相关因素包括残疾状况（12项研究中的11项）、负担感（12项研究中的8项）、感知到的耻辱感（12项研究中的4项）、抑郁症状（12项研究中的6项）、孤独感（12项研究中的2项）、缺乏社会和情感联系（12项研究中的2项）、长期身体或精神残疾（12项研究中的2项）、先天性残疾（12项研究中的1项）和攻击性（12项研究中的1项）。
及时、基于证据且低成本的干预措施可以提供巨大帮助，并满足这一弱势群体的特殊需求，因为他们有更高的自杀行为风险。
