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近期生活事件、社会支持与自杀

Recent life events, social support and suicide.

作者信息

Heikkinen M, Aro H, Lönnqvist J

机构信息

National Public Health Institute, Department of Mental Health, Helsinki, Finland.

出版信息

Acta Psychiatr Scand Suppl. 1994;377:65-72. doi: 10.1111/j.1600-0447.1994.tb05805.x.

Abstract

The occurrence of recent life events during the last 3 months, and social support received were studied in a nationwide suicide population (N = 1,067) in Finland. Recent life events were reported in 80% of the suicides. Job problems (28%), family discord (23%), somatic illness (22%), financial trouble (18%), unemployment (16%), separation (14%), death (13%) and illness in family (12%) were the most common life events. Sex differences were found in recent life events: any life event, separation, financial trouble, job problems and unemployment were more common among males. The mean number of life events was also higher among males. Living alone was more common among female victims. Females had children more often than males. In terms of friendships, more females had a close friend, whereas more males had friends sharing common interests. Females had complained of loneliness more often than males. Those females who had lived alone had encountered a recent death more often than other females. The male victims who had lived alone had experienced separation, financial trouble and unemployment during the last 3 months more frequently than other males, suggesting a concurrent stressor effect of these recent life events with living alone in male suicides.

摘要

对芬兰全国范围内的1067名自杀者进行了研究,探讨了过去3个月内近期生活事件的发生情况以及他们所获得的社会支持。80%的自杀者报告了近期生活事件。工作问题(28%)、家庭不和(23%)、躯体疾病(22%)、经济困难(18%)、失业(16%)、分居(14%)、死亡(13%)和家人患病(12%)是最常见的生活事件。在近期生活事件中发现了性别差异:任何生活事件、分居、经济困难、工作问题和失业在男性中更为常见。男性生活事件的平均数量也更高。独居在女性受害者中更为常见。女性比男性更常有孩子。在友谊方面,有亲密朋友的女性更多,而有共同兴趣朋友的男性更多。女性比男性更常抱怨孤独。独居的女性比其他女性更常遭遇近期亲人死亡。独居的男性受害者在过去3个月内经历分居、经济困难和失业的频率比其他男性更高,这表明这些近期生活事件与男性自杀中的独居存在并发应激源效应。

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