Tu Jin-Heng, Lu Yun, Yue Zong-Chao, Ling Ke-Nan, Xing Yu-Run, Chen Dan-Dan, Zhu Zhi-Ren, Chen Tian-Xi
School of Nursing and Rehabilitation, Nantong University, Nantong, China.
School of Nursing, Harbin Medical University, Harbin, Heilongjiang, China.
Front Psychiatry. 2024 Aug 15;15:1427486. doi: 10.3389/fpsyt.2024.1427486. eCollection 2024.
In the aftermath of bereavement, our research explores the subtleties of Prolonged Grief Disorder (PGD), focusing particularly on its correlation with suicidal behaviors and their variation across genders. This study seeks to elucidate the impact of gender on these behaviors among individuals suffering from PGD, thereby enhancing our understanding and facilitating the development of tailored therapeutic interventions.
By November 24th, 2023, we had rigorously reviewed key databases such as PubMed, Web of Science, Cochrane Library, PsycINFO, and Embase. Independently, two researchers conducted detailed interviews and filled out questionnaires with participants to gather demographic information and record instances of prolonged grief disorder. The study also meticulously tracked occurrences of suicidal ideation, suicide attempts, suicide deaths, and self-injury among the participants.
The findings indicate that 22.34% of males reported suicidal ideation (95% CI: 21.33-23.35), a figure that rises to 26.84% among females (95% CI: 25.99-27.69). Notably, 12.11% of males attempted suicide (95% CI: 11.49-12.72), marginally surpassing the 9.60% observed in females (95% CI: 9.17-10.04). More striking disparities were observed in suicide deaths, with rates for males at 3.66% (95% CI: 3.32-4.00) compared to a notably higher 7.12% for females (95% CI: 6.44-7.81). Furthermore, the incidence of self-injury was lower among males, at 2.48% (95% CI: 2.03-2.94), than in females, who reported a rate of 5.09% (95% CI: 4.69-5.49). These patterns underscore the critical need for gender-specific interventions aimed at reducing these significant disparities.
This study distinctly underscores the profound impact of gender on the manifestation of suicidal behaviors in individuals afflicted with prolonged grief disorder. It reveals that females are more prone to suicidal ideation, self-injury, and suicide deaths, while males predominantly exhibit a higher incidence of suicide attempts and risk-taking behaviors. These unmediated trends highlight the necessity for gender-specific clinical interventions tailored to address particular behaviors and modify prevalent patterns that typically resist conventional approaches.
PROSPERO (york.ac.uk), identifier CRD42023480035.
在丧亲之痛后，我们的研究探索了持续性悲伤障碍（PGD）的微妙之处，特别关注其与自杀行为的关联以及这些行为在不同性别中的差异。本研究旨在阐明性别对患有PGD的个体中这些行为的影响，从而增进我们的理解并促进针对性治疗干预措施的发展。
截至2023年11月24日，我们严格审查了诸如PubMed、科学网、考克兰图书馆、PsycINFO和Embase等关键数据库。两名研究人员独立对参与者进行详细访谈并填写问卷，以收集人口统计学信息并记录持续性悲伤障碍的情况。该研究还精心跟踪了参与者中自杀意念、自杀未遂、自杀死亡和自我伤害的发生情况。
研究结果表明，22.34%的男性报告有自杀意念（95%置信区间：21.33 - 23.35），这一数字在女性中升至26.84%（95%置信区间：25.99 - 27.69）。值得注意的是，12.11%的男性曾尝试自杀（95%置信区间：11.49 - 12.72），略高于女性中观察到的9.60%（95%置信区间：9.17 - 10.04）。在自杀死亡方面观察到更显著的差异，男性的自杀死亡率为3.66%（95%置信区间：3.32 - 4.00），而女性的自杀死亡率则明显更高，为7.12%（95%置信区间：6.44 - 7.81）。此外，男性的自我伤害发生率较低，为2.48%（95%置信区间：2.03 - 2.94），低于女性报告的5.09%（95%置信区间：4.69 - 5.49）。这些模式突显了针对减少这些显著差异的针对性别干预措施的迫切需求。
本研究清楚地强调了性别对患有持续性悲伤障碍的个体中自杀行为表现的深远影响。研究表明，女性更容易出现自杀意念、自我伤害和自杀死亡，而男性主要表现出较高的自杀未遂和冒险行为发生率。这些未经调解的趋势凸显了针对特定行为并改变通常抗拒传统方法的普遍模式的针对性别临床干预措施的必要性。
PROSPERO（york.ac.uk），标识符CRD42023480035。
