Recall of early non-fatal suicidality in a nationally representative sample of South Africans.
Recall of early non-fatal suicidality in a nationally representative sample of South Africans.
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回顾南非全国代表性样本中的早期非致命自杀行为。
DOI：
10.1080/13557858.2012.664271
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发表时间：
2012
影响因子：
3.1
通讯作者：
Myer,Landon
中科院分区：
文献类型：
--
作者：
vanPletzen,Ermien;Stein,DanJ;Seedat,Soraya;Williams,DavidR;Myer,Landon
目标。人们对南非早期非致命性自杀的社会人口模式知之甚少。我们调查了南非全国代表性样本中自我报告的早期自杀（自杀意念、计划和企图）的流行程度。设计。作为一项更大的心理健康调查的一部分，3158名25岁以上的人被要求回忆他们在早期生活（从童年到25岁）是否有非致命的自杀行为。在种族隔离制度下制度化的基于种族的歧视深刻地影响了保健和其他社会服务的提供和成果。因此，种族隔离时期根深蒂固的种族分类被用于分析1946年、1947-1956年、1957-1966年和1967 - 1976年之前出生的人的数据。结果：3.4% （95% CI= 2.6-4.1）的参与者回忆起早期的自杀行为。在所有种族中，最年轻的一组（1967-1976年出生）的早期自杀率都高于年龄较大的一组。在未经调整的分析中，白人和有色人种回忆早期自杀的可能性分别是黑人的2.84倍（95% CI= 1.62-4.97）和1.84倍（95% CI= 1.15-2.93）。在城市和较高社会经济环境中长大的个体回忆起早期自杀的可能性大约是在农村和较低社会经济环境中长大的个体的两倍（OR=2.2; 95% CI= 1.14-4.28和OR=1.92; 95% CI= 1.27-2.90）。那些接受过小学后教育的人回忆起早期自杀的可能性是那些没有或只接受过小学教育的人的2.79倍（CI= 1.71-4.53）。在调整了农村/城市位置和其他社会经济因素对早期生活的影响后，种族差异不再显著。结论：该研究为南非年轻人早期非致命性自杀率的上升提供了新的证据。白人的水平明显高于黑人。早期生活中的社会经济背景被解释为种族与早期自杀回忆之间关系的中介而不是混杂因素。关于在南非较低的社会经济阶层和农村环境中长大的参与者自杀率下降的调查结果需要进一步调查。强调有必要在人口水平上广泛开展针对年轻人的自杀预防规划。
Objectives.Little is known about socio-demographic patterns of non-fatal suicidality in early life in South Africa. We investigated the prevalence of self-reported early suicidality (suicidal ideation, planning and attempts) in a nationally representative sample of South Africans.Design.As part of a larger mental health survey, 3158 individuals aged over 25 years were asked to recall whether they engaged in non-fatal suicidal behaviour in early life (measured from childhood to 25 years). Race-based discrimination institutionalised under Apartheid profoundly influenced delivery and outcomes in health and other social services. Racial categories entrenched during Apartheid were therefore used to analyse data collected from individuals born before 1946, 1947–1956, 1957–1966 and 1967–1976.Results.3.4% (95% CI=2.6–4.1) of participants recalled early suicidal behaviour. The youngest group (born 1967–1976) recalled higher rates of early suicidality than older groups in all races. In unadjusted analysis, White people were 2.84 (95% CI=1.62–4.97) and Coloured people 1.84 (95% CI=1.15–2.93) times more likely than Black people to recall early suicidality. Individuals growing up in urban and higher socio-economic settings were approximately twice (OR=2.2; 95% CI=1.14–4.28 and OR=1.92; 95% CI=1.27–2.90) as likely to recall early suicidality as those growing up in rural and lower socio-economic settings. Those with post-primary education were 2.79 (CI=1.71–4.53) times as likely to recall early suicidality as those with no or only primary education. Racial differences ceased to be significant after adjustment for rural/urban location and other socio-economic measures estimated for early life.Conclusion.The study provides novel evidence of increasing levels of early non-fatal suicidality recalled by younger South Africans. Levels appeared significantly higher in Whites than in Blacks. Socio-economic contexts in early life were interpreted as mediators rather than confounders of the association between race and recalled early suicidality. The findings for decreased levels of suicidality among participants growing up in lower socio-economic strata and rural settings in South Africa require further investigation. The need for widespread suicide prevention programmes targeting young people at a population level is emphasised.