Suicide attempts, plans, and ideation in culturally diverse sites:: the WHOSUPRE-MISS community survey
Suicide attempts, plans, and ideation in culturally diverse sites:: the WHOSUPRE-MISS community survey
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DOI：
10.1017/s0033291705005404
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发表时间：
2005-10-01
影响因子：
6.9
通讯作者：
Wasserman, D
中科院分区：
文献类型：
--
作者：
Bertolote, JM;Fleischmann, A;Wasserman, D
背景目的是评估自杀的想法，计划自杀和自杀企图在社区，调查使用的卫生服务后，自杀企图，并描述社区的基本社会文化指数。社区调查是世卫组织更大规模的自杀行为多地点干预研究（SUPRE-MISS）的一个组成部分。在每个研究中心，其目的是随机选择和采访至少500名居住在急诊科集水区的一般人群受试者，在急诊科集水区进行研究的干预部分。八个SUPRE-MISS站点（在巴西，中国，爱沙尼亚，印度，伊朗，南非，斯里兰卡和越南）的社区参与了，另外两个来自澳大利亚和瑞典的站点进行了类似的调查。自杀企图（0）4-4（.）2%），计划（1（.）1-15（.）6%），和构思（2（.）6-25（.）4%）在各研究中心之间变化了10-14倍，但大部分仍在先前公布的数据范围内。根据网站的不同，自杀的尝试，计划和想法之间的比例有很大的不同。自杀未遂后的医疗照顾在22%和88%的自杀者之间变化。自杀过程是一个从想法到自杀计划和企图的连续而平稳的演变过程，这一观点需要进一步研究，因为它似乎取决于文化背景。有迹象表明，在不同的文化中，未被发现的自杀未遂的负担很高;卫生部门需要改进如何识别和支持这些人的对策。
Background. The objectives were to assess thoughts about suicide, plans to commit suicide and suicide attempts in the community, to investigate the use of health services following a suicide attempt, and to describe basic socio-cultural indices of the community.Method. The community survey was one component of the larger WHO multisite intervention study on suicidal behaviours (SUPRE-MISS). In each site, it aimed at randomly selecting and interviewing at least 500 subjects of the general population living in the catchment area of the emergency department where the intervention component of the study was conducted. Communities of eight SUPRE-MISS sites (in Brazil, China, Estonia, India, Iran, South Africa, Sri Lanka, and Viet Nam) participated plus two additional sites from Australia and Sweden conducting similar surveys.Results. Suicide attempts (0(.)4-4(.)2%), plans (1(.)1-15(.)6%), and ideation (2(.)6-25(.)4%) varied by a factor of 10-14 across sites, but remained mostly within the ranges of previously published data. Depending on the site, the ratios between attempts, plans, and thoughts Of Suicide differed substantially. Medical attention following a suicide attempt varied between 22% and 88% of the attempts.Conclusions. The idea of the suicidal process as a continuous and smooth evolution from thoughts to plans and attempts of suicide needs to be further investigated as it seems to be dependent on the cultural setting. There are indications, that the burden of undetected attempted suicide is high in different cultures; an improved response from the health sector on how to identify and support these individuals is needed.