A systematic review of social factors and suicidal behavior in older adulthood.

A systematic review of social factors and suicidal behavior in older adulthood.
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DOI:
10.3390/ijerph9030722
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发表时间:
2012-03
影响因子:
--
通讯作者:
Waern M
Waern M
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Fässberg MM;van Orden KA;Duberstein P;Erlangsen A;Lapierre S;Bodner E;Canetto SS;De Leo D;Szanto K;Waern M

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晚年自杀是一个全球性的公共卫生问题。本综述的目的是对 65 岁及以上个体的社会因素与自杀行为(包括意念、非致命自杀行为或死亡)之间的关联进行比较组的研究进行系统分析。我们的搜索仅发现 16 篇文章(涵盖 14 个独立样本)符合纳入标准。研究数量有限表明需要进一步研究。纳入的研究在加拿大 (n = 2)、德国 (n = 1)、香港 (n = 1)、日本 (n = 1)、新加坡 (n = 1)、瑞典 (n = 2)、台湾 (n = 1)、英国 (n = 2) 和美国 (n = 3) 进行。本综述中研究的大多数社会因素可以被概念化为积极社会联系的指标——与家人、朋友和社会群体的积极参与程度。研究结果表明,至少在工业化国家,有限的社会联系与自杀意念、非致命自杀行为和晚年自杀有关。旨在增强社会联系和社区意识的初级预防计划可能会降低自杀风险,尤其是男性自杀风险。
Suicide in later life is a global public health problem. The aim of this review was to conduct a systematic analysis of studies with comparison groups that examined the associations between social factors and suicidal behavior (including ideation, non-fatal suicidal behavior, or deaths) among individuals aged 65 and older. Our search identified only 16 articles (across 14 independent samples) that met inclusion criteria. The limited number of studies points to the need for further research. Included studies were conducted in Canada (n = 2), Germany (n = 1), Hong Kong (n = 1), Japan (n = 1), Singapore (n = 1), Sweden (n = 2), Taiwan (n = 1), the U.K. (n = 2), and the U.S. (n = 3). The majority of the social factors examined in this review can be conceptualized as indices of positive social connectedness—the degree of positive involvement with family, friends, and social groups. Findings indicated that at least in industrialized countries, limited social connectedness is associated with suicidal ideation, non-fatal suicidal behavior, and suicide in later life. Primary prevention programs designed to enhance social connections as well as a sense of community could potentially decrease suicide risk, especially among men.
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