Suicide, psychiatric illness, and social maladjustment in intercountry adoptees in Sweden: a cohort study
Suicide, psychiatric illness, and social maladjustment in intercountry adoptees in Sweden: a cohort study
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DOI：
10.1016/s0140-6736(02)09674-5
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发表时间：
2002-08-10
期刊：
影响因子：
168.9
通讯作者：
Vinnerljung, B
中科院分区：
文献类型：
--
作者：
Hjern, A;Lindblad, F;Vinnerljung, B
背景许多跨国收养在西欧和美国进入青春期，这些人作为青少年和年轻人的心理健康和社会适应现在已经成为一个重要的问题。我们的目的是评估心理健康障碍和社会适应不良，在青少年和青年期的跨国adoptesinSweden.Method我们的数据是从瑞典国家登记册的队列出生于1970年至1979年。我们使用多变量考克斯回归模型的人年，比较指标自杀死亡（1986-95），法院判决（1986-93），和出院的精神疾病，自杀企图，药物滥用（1987-94）在11320跨国收养与2343瑞典出生的兄弟姐妹，4006移民儿童，和一般人口的853 419瑞典出生的residents.Findings调整后的主要社会人口混杂因素，跨国收养者更有可能比其他瑞典出生的儿童死于自杀（比值比3.6，95% CI 2.1-5.9）;自杀未遂（3.6，3.1-4.2）;因精神疾病入院（3.2，2.9-3.6）、吸毒（5.2，2.9-9.3）或酗酒（2.6，2.0-3.3）;或犯罪（1.6，1.5-1.7）。在收养家庭中的sibery有较低的优势比，为大多数结果比被收养者，而被收养者和移民儿童有大致相同的优势比。在瑞典的解释uninterpretaties有很高的风险，严重的心理健康问题和社会适应不良的青少年和青年成年。我们建议专业人员适当考虑跨国收养患者的高自杀风险。
Background Many intercountry adoptees are reaching adolescence in western Europe and the USA, and the mental health and social adjustment of these individuals as adolescents and young adults has now become an important issue. We aimed to assess mental health disorders and social maladjustment in adolescence and young adulthood in intercountry adoptees in Sweden.Method Our data was obtained from the Swedish national registers for the cohort born in 1970-79. We used multivariate Cox's regression models of person-years to compare indicators of suicide death (1986-95), court sentences (1986-93), and discharges for psychiatric illness, suicide attempts, and substance abuse (1987-94) in 11320 intercountry adoptees with 2343 Swedish-born siblings, 4006 immigrant children, and a general population of 853 419 Swedish-born residents.Findings After adjustment for major sociodemographic confounders, intercountry adoptees were more likely than other Swedish-born children to die from suicide (odds ratio 3.6, 95% Cl 2.1-5.9); attempt suicide (3.6, 3.1-4.2); be admitted for a psychiatric disorder (3.2, 2.9-3.6), drug abuse (5.2, 2.9-9.3) or alcohol abuse (2.6, 2.0-3.3); or to commit a crime (1.6, 1.5-1.7). Siblings in adoptive homes had lower odds ratios for most outcomes than did adoptees, whereas adoptees and immigrant children had much the same odds ratios.Interpretation Adoptees in Sweden have a high risk for severe mental health problems and social maladjustment in adolescence and young adulthood. We advise professionals to give appropriate consideration to the high risk of suicide in patients who are intercountry adoptees.