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尼泊尔塔纳胡恩县维亚斯市老年人口中自杀意念的患病率及其相关因素:一项横断面研究。

Prevalence of suicidal ideation and its associated factors among the geriatric population in Vyas Municipality, Tanahun District, Nepal: a cross-sectional study.

作者信息

Shrestha Durga, Kaphle Hari Prasad

机构信息

School of Health and Allied Sciences, Pokhara University, Kaski, Nepal.

出版信息

BMC Geriatr. 2025 Jan 15;25(1):34. doi: 10.1186/s12877-025-05677-3.

Abstract

BACKGROUND

Suicidal ideation among the geriatric population is a pressing concern, particularly in regions such as Nepal where mental health resources are limited. This study aimed to determine the prevalence of suicidal ideation and its associated factors among the geriatric population in Vyas Municipality, Nepal.

METHODS

A cross-sectional study was conducted among individuals aged 60 years and above in Vyas Municipality, Nepal. A total of 311 participants were selected using multistage sampling. The data were collected through face-to-face interviews using a structured interview schedule. Multivariate logistic regression analysis was performed to identify independent variables associated with suicidal ideation.

RESULTS

The overall prevalence of suicidal ideation within the last twelve months among the geriatric population was 6.4% (n = 20). After adjustment for covariates in multivariate logistic regression analysis, living in a nuclear family (OR: 3.033, C.I. 95%:1.007-9.136), and experiencing depressive symptoms [(Mild depression:- OR: 5.358, C.I. 95%:1.548-18.539), (Moderate depression:- OR: 15.739, C.I. 95%:2.536-97.687), and (Severe depression:- OR: 17.423, C.I. 95%:2.218-136.878)] were found to be significant influencing factors for suicidal ideation.

CONCLUSION

This study emphasizes the need to enhance mental health services and strengthen family and community support systems to address suicidal ideation among older adults in Nepal. Further research is required to identify additional determinants and evaluate interventions to mitigate this risk.

摘要

背景

老年人群中的自杀意念是一个紧迫的问题,在尼泊尔等心理健康资源有限的地区尤其如此。本研究旨在确定尼泊尔维亚斯市老年人群中自杀意念的患病率及其相关因素。

方法

在尼泊尔维亚斯市对60岁及以上的个体进行了一项横断面研究。采用多阶段抽样共选取了311名参与者。通过使用结构化访谈提纲进行面对面访谈收集数据。进行多变量逻辑回归分析以确定与自杀意念相关的独立变量。

结果

老年人群在过去十二个月内自杀意念的总体患病率为6.4%(n = 20)。在多变量逻辑回归分析中对协变量进行调整后,发现生活在核心家庭(比值比:3.033,95%置信区间:1.007 - 9.136)以及出现抑郁症状[(轻度抑郁:比值比:5.358,95%置信区间:1.548 - 18.539),(中度抑郁:比值比:15.739,95%置信区间:2.536 - 97.687),以及(重度抑郁:比值比:17.423,95%置信区间:2.218 - 136.878)]是自杀意念的重要影响因素。

结论

本研究强调需要加强心理健康服务并强化家庭和社区支持系统,以应对尼泊尔老年人中的自杀意念问题。需要进一步研究以确定其他决定因素并评估减轻这种风险的干预措施。

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