Suicide ideation and a post-disaster assessment of risk and protective factors among Hurricane Harvey survivors
Suicide ideation and a post-disaster assessment of risk and protective factors among Hurricane Harvey survivors
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DOI：
10.1016/j.jad.2020.08.072
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发表时间：
2020-12-01
影响因子：
6.6
通讯作者：
Spialekb, Matthew L.
中科院分区：
文献类型：
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作者：
Fitzpatricka, Kevin M.;Spialekb, Matthew L.
背景：以前的研究已经记录了自然灾害后自杀率上升的证据。虽然对于灾后环境中心理健康后果的持续时间和持续时间存在一些分歧，但这仍然是一个需要进一步研究的重要结果。方法：在本研究中，从2017年10月开始，在4级飓风摧毁德克萨斯州墨西哥湾沿岸两个月后，对飓风哈维幸存者样本（n=316）进行了为期三个月的采访。使用逻辑回归，该分析检查了社会人口脆弱性，以及可能加剧幸存者自杀意念的个人风险和减少幸存者自杀意念几率的保护措施。结果：大约10%的幸存者在哈维飓风过后有过自杀的想法。女性、创伤后应激症状加重的人、报告中度至高度粮食不安全的人以及先前有精神健康问题的人报告的自杀意念的几率较高。我们检查了一些保护因素，宗教、社会资本和乐观主义都是负的，并且有统计学意义（p < 0.05），并且与较低的自杀意念率相关。结论：据我们所知，这些发现是第一次从哈维飓风灾区出来，特别关注自杀意念。心理健康专业人员需要继续对灾害对幸存者心理功能影响的细微差别保持敏感，自然灾害事件发生后，潜在的负面心理健康症状会持续6至12个月。
Background: Previous studies have documented evidence of increased suicidality after natural disasters. While there is some disagreement about when and how long mental health consequences are sustained in the post -disaster setting, it is nevertheless an important outcome requiring further examination.Method: In the present study, a sample of Hurricane Harvey survivors (n=316) were interviewed over a threemonth period beginning in October 2017, two months after a Category 4 hurricane devastated the Texas Gulf Coast. Using logistic regression, the analysis examines sociodemographic vulnerabilities, as well as individual risks that potentially exacerbate and protections that mitigate the odds of suicide ideation among survivors.Results: Approximately 10 percent of the sampled survivors reported suicide ideation post-Hurricane Harvey. Females, persons with elevated symptoms of post-traumatic stress symptoms, persons reporting moderate to high levels of food insecurity, and those with previous mental health issues were related to higher odds in reported suicide ideation. We examined a number of protective factors and religious social capital and optimism were both negative and statistically significant (p < 0.05) and related to lower odds of suicide ideation.Conclusions: To our knowledge, these findings are the first to come out of the Hurricane Harvey disaster zone, specifically focusing on suicide ideation. Mental health professionals need to continue to be sensitive to the nuance of disaster impact on the psychological functioning of survivors, with potential negative mental health symptoms persisting 6 to 12 months after a natural disaster event.