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Association between COVID-19 pandemic and the suicide rates in Nepal.尼泊尔新冠大流行与自杀率的关联。
PLoS One. 2022 Jan 24;17(1):e0262958. doi: 10.1371/journal.pone.0262958. eCollection 2022.
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Multidimensional scale of perceived social support: evidence of validity and reliability in a Chilean adaptation for older adults.多维感知社会支持量表:在智利老年人适应中的有效性和可靠性证据。
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A descriptive mapping review of suicide in vulnerable populations in low and middle countries.描述性映射综述:在中低收入国家中的弱势群体中的自杀问题。
Asia Pac Psychiatry. 2021 Sep;13(3):e12472. doi: 10.1111/appy.12472. Epub 2021 Apr 4.
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Depression and suicidal ideation among the geriatric population of Kashmir, India.印度克什米尔老年人群中的抑郁和自杀意念。
Int J Soc Psychiatry. 2021 Sep;67(6):651-655. doi: 10.1177/0020764020968592. Epub 2020 Oct 24.
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Epidemiology of suicidal feelings in an ageing Swedish population: from old to very old age in the Gothenburg H70 Birth Cohort Studies.老年瑞典人群自杀意念的流行病学研究:哥德堡 H70 出生队列研究从老年到非常老年。
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Suicide and deliberate self-harm in Pakistan: a scoping review.巴基斯坦的自杀和故意自残行为:范围综述。
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Elder Self-neglect and Suicidal Ideation in an U.S. Chinese Aging Population: Findings From the PINE Study.美国华裔老年人群中的自我忽视与自杀意念:来自PINE研究的发现
J Gerontol A Biol Sci Med Sci. 2017 Jul 1;72(suppl_1):S76-S81. doi: 10.1093/gerona/glw229.
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The relationship between suicide rates and age: an analysis of multinational data from the World Health Organization.自杀率与年龄的关系:对世界卫生组织多国数据的分析
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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.

DOI:10.1186/s12877-025-05677-3
PMID:39815232
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11734414/
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。