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青少年死亡率、精神障碍与犯罪行为:对芬兰北部1966年出生队列的前瞻性研究。

Juvenile mortality, mental disturbances and criminality: a prospective study of the Northern Finland 1966 birth cohort.

作者信息

Räsänen P, Tiihonen J, Isohanni M, Moring J, Koiranen M

机构信息

University of Oulu, Department of Psychiatry, Finland.

出版信息

Acta Psychiatr Scand. 1998 Jan;97(1):5-9. doi: 10.1111/j.1600-0447.1998.tb09955.x.

Abstract

Mortality, criminality and mental illness among young adults were studied in an unselected birth cohort of 12 058 children born live in Northern Finland during 1966. The cohort members were followed up to the age of 27 years. The total number of all deaths was 117, and 79.5% of these deaths were from unnatural causes. The mortality of males was more than threefold higher than that of females. There was a significantly higher mortality risk in men with schizophrenia (OR, 9.31; 95% CI, 3.14-25.53), other psychoses (OR, 10.28; 95% CI, 2.40-37.02), personality disorders (OR, 4.28; 95% CI, 1.04-14.67) and combined personality disorders and criminality (OR, 3.27, 95% CI, 0.99-9.59). In the group of major mental disorders, 75% of deaths were suicides.

摘要

对1966年在芬兰北部出生的12058名存活儿童组成的未经过筛选的出生队列中的年轻人的死亡率、犯罪率和精神疾病进行了研究。对该队列成员进行随访至27岁。死亡总数为117人,其中79.5%的死亡是由非自然原因导致的。男性的死亡率比女性高出三倍多。患有精神分裂症的男性(比值比,9.31;95%置信区间,3.14 - 25.53)、其他精神病(比值比,10.28;95%置信区间,2.40 - 37.02)、人格障碍(比值比,4.28;95%置信区间,1.04 - 14.67)以及合并人格障碍和犯罪的男性(比值比,3.27,95%置信区间,0.99 - 9.59)的死亡风险显著更高。在重度精神障碍组中,75%的死亡是自杀。

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