Suicidal behaviour in Te Rau Hinengaro: The New Zealand Mental Health Survey
Suicidal behaviour in Te Rau Hinengaro: The New Zealand Mental Health Survey
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DOI：
10.1111/j.1440-1614.2006.01909.x
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发表时间：
2006-10-01
影响因子：
4.6
通讯作者：
Browne, Mark A. Oakley
中科院分区：
文献类型：
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作者：
Beautrais, Annette L.;Wells, J. Elisabeth;Browne, Mark A. Oakley
目的：描述新西兰16岁及以上人口中自杀行为的流行率和相关因素。方法：数据来自Te Rau Hinengaro：新西兰心理健康调查，2003年10月至2004年12月在12992名16岁及以上的参与者中进行的一项具有全国代表性的家庭调查，世界心理健康综合国际诊断访谈。终身和12个月的患病率和发病分布自杀意念，计划和企图，社会人口学和精神障碍的相关性，这些behaviors.Results：终身患病率为15.7%自杀意念，自杀计划和自杀企图的5.5%和4.5%，并始终显着高于女性比男性。12个月的患病率为3.2%的构思，1.0%的计划和0.4%的尝试。在过去12个月中，女性、年轻人、学历较低的人和家庭收入较低的人的意念风险较高。年轻人和家庭收入低的人制定计划或尝试的风险更高。在调整社会人口因素后，在构思方面没有种族差异，尽管毛利人和太平洋岛屿人与非毛利人和非太平洋岛屿人相比，计划和尝试的风险更高。与没有精神障碍的人相比，患有精神障碍的人的构思（11.8%），计划（4.1%）和尝试（1.6%）的风险增加。自杀意念、计划和企图的风险与心境障碍、物质使用障碍和焦虑障碍相关。重性抑郁症是与自杀意念、计划和企图最密切相关的特定疾病。在过去12个月内报告有自杀行为的人中，不到一半在此期间曾去看过卫生专业人员。不到三分之一的人曾尝试接受治疗从psychiatris.Conclusions：风险，使自杀计划或企图与精神障碍和社会人口学的劣势。大多数有自杀行为的人在自杀期间没有看过心理健康问题的健康专业人员。
Objective: To describe prevalence and correlates of suicidal behaviour in the New Zealand population aged 16 years and over.Method: Data are from Te Rau Hinengaro: The New Zealand Mental Health Survey, a nationally representative household survey conducted from October 2003 to December 2004 in a sample of 12 992 participants aged 16 years and over to study prevalences and correlates of mental disorders assessed using the World Mental Health Composite International Diagnostic Interview. Lifetime and 12 month prevalences and onset distributions for suicidal ideation, plans and attempts, and sociodemographic and mental disorder correlates of these behaviours were examined.Results: Lifetime prevalences were 15.7% for suicidal ideation, 5.5% for suicide plan and 4.5% for suicide attempt, and were consistently significantly higher in females than in males. Twelve-month prevalences were 3.2% for ideation, 1.0% for plan and 0.4% for attempt. Risk of ideation in the past 12 months was higher in females, younger people, people with lower educational qualifications, and people with low household income. Risk of making a plan or attempt was higher in younger people and in people with low household income. After adjustment for sociodemographic factors, there were no ethnic differences in ideation, although Maori and Pacific people had elevated risks of plans and attempts compared with non-Maori non-Pacific people. Individuals with a mental disorder had elevated risks of ideation (11.8%), plan (4.1%) and attempt (1.6%) compared with those without mental disorder. Risks of suicidal ideation, plan and attempt were associated with mood disorder, substance use disorder and anxiety disorder. Major depression was the specific disorder most strongly associated with suicidal ideation, plan and attempt. Less than half of those who reported suicidal behaviours within the past 12 months had made visits to health professionals within that period. Less than one-third of those who had made attempts had received treatment from a psychiatrist.Conclusions: Risks of making a suicide plan or attempt were associated with mental disorder and sociodemographic disadvantage. Most people with suicidal behaviours had not seen a health professional for mental health problems during the time that they were suicidal.