Feeling that life is not worth living (death thoughts) among middle-aged, Australian women providing unpaid care
Feeling that life is not worth living (death thoughts) among middle-aged, Australian women providing unpaid care
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DOI：
10.1016/j.maturitas.2014.01.013
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发表时间：
2014-04-01
期刊：
影响因子：
4.9
通讯作者：
Barrett, Susan
中科院分区：
文献类型：
--
作者：
O'Dwyer, Siobhan T.;Moyle, Wendy;Barrett, Susan
目的：利用澳大利亚妇女健康纵向研究（ALSWH）的数据，确定经历过死亡念头的女性护理人员的比例以及与这些念头相关的因素。方法：对第五次ALSWH调查进行横断面分析。10528名中年妇女提供了有关关怀和死亡想法的数据，其中3077人是护理人员，其中2005人被纳入多变量分析。结果：7.1%的女性护理人员在前一周感到生活不值得过，并被归类为经历过死亡念头，而非护理人员的这一比例为5.7% （p = 0.01）。有死亡想法的护理人员身心健康状况较差，焦虑程度较高，乐观程度较低，社会支持较少（p < 0.01）。在一个多变量模型中，社会支持、心理健康、照顾者满意度和抑郁症状显著预测死亡想法。有临床显著抑郁症状的护理人员产生死亡念头的可能性是没有抑郁症状的护理人员的四倍。对自己的角色感到满意的护理人员比不满意的护理人员经历死亡念头的可能性低50%。结论：一小部分但很重要的女性护理人员有死亡念头，可能有自杀的危险。这些发现增加了关于护理人员自杀相关想法和行为的越来越多的证据，并对卫生专业人员和服务提供者产生影响。2014爱思唯尔爱尔兰有限公司版权所有。
Objective: To identify the proportion of female carers who experience death thoughts and the factors associated with these thoughts, using data from the Australian Longitudinal Study on Women's Health (ALSWH).Methods:A cross-sectional analysis of the fifth ALSWH survey was conducted. 10,528 middle-aged women provided data on caring and death thoughts, 3077 were carers and 2005 of those were included in the multivariate analysis.Results: 7.1% of female carers had felt life was not worth living in the previous week and were classified as having experienced death thoughts, compared with 5.7% of non-carers (p = .01). Carers with death thoughts had poorer physical and mental health, higher levels of anxiety, lower levels of optimism, and reported less social support (p < .01). In a multivariate model social support, mental health, carer satisfaction, and depressive symptoms significantly predicted death thoughts. Carers with clinically significant depressive symptoms were four times more likely to experience death thoughts than those without. Carers who were satisfied with their role were 50% less likely to have experienced death, thoughts than those who were dissatisfied.Conclusions: A small but significant proportion of female carers experience death thoughts and may be at risk for suicide. These findings add to the growing body of evidence on suicide-related thoughts and behaviours in carers and have implications for health professionals and service providers. (C) 2014 Elsevier Ireland Ltd. All rights reserved.