Lifetime prevalence of suicide ideation, plan, and attempt in metropolitan China
Lifetime prevalence of suicide ideation, plan, and attempt in metropolitan China
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DOI：
10.1111/j.1600-0447.2007.01064.x
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发表时间：
2007-12-01
影响因子：
6.7
通讯作者：
Kessler, R. C.
中科院分区：
文献类型：
--
作者：
Lee, S.;Fung, S. C.;Kessler, R. C.
目的：这是第一个以社区为基础的流行病学研究，调查中国大都市自杀行为的流行情况、其过渡途径及其与精神障碍的关系。方法：通过对 2001-2002 年北京和上海 5201 名受访者进行面对面的家庭访谈，评估自杀行为，包括意念、计划和企图。使用多元离散时间生存模型检查终生患病率和危险因素。结果：自杀意念、计划和企图的终生患病率估计分别为 3.1%、0.9% 和 1.0%。在有自杀念头的人中，曾经制定计划和尝试自杀的条件概率分别为 29.5% 和 32.3%。从构思到计划和尝试的进展在发病后的第一年是最高的。青年期、未婚、最近出现意念和计划以及存在精神障碍，特别是情绪障碍是自杀企图的预测因素。结论：中国大城市的自杀行为发生率较低，其流行病学特征与西方国家相似。
Objective: This is the first community-based epidemiological study examining the prevalence of suicidal behaviors, their transitional pathways, and their relationship with mental disorders in metropolitan China.Method: Suicidal behaviors, including ideation, plans, and attempts were assessed by face-to-face household interviews among 5201 respondents in Beijing and Shanghai in 2001-2002. Lifetime prevalence and risk factors were examined using multivariate discrete-time survival models.Results: The lifetime prevalence estimates of suicidal ideation, plans, and attempts were 3.1%, 0.9%, and 1.0% respectively. Among suicide ideators, the conditional probability of ever making a plan and an attempt was 29.5% and 32.3% respectively. Progression from ideation to plan and attempt was the highest during the first year after onset. Suicide attempt was predicted by young adulthood, being unmarried, recent onset of ideation and plan, and the presence of mental disorders, especially mood disorder.Conclusion: Suicidal behaviors in metropolitan China exhibit a low prevalence and an epidemiological profile resembling that found in Western countries.