A population-based analysis of suicidality and its correlates: findings from the National Mental Health Survey of India, 2015-16
A population-based analysis of suicidality and its correlates: findings from the National Mental Health Survey of India, 2015-16
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DOI：
10.1016/s2215-0366(19)30404-3
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发表时间：
2020-01-01
影响因子：
64.3
通讯作者：
Shibukumar, Theerthankara Meethal
中科院分区：
文献类型：
--
作者：
Amudhan, Senthil;Gururaj, Gopalkrishna;Shibukumar, Theerthankara Meethal
印度占全球人口的18%，占全球自杀死亡人数的26.6%。然而，在印度，没有关于自杀倾向的强有力的、以人口为基础的、具有全国代表性的数据可用于规划和实施自杀预防方案。我们的目的是调查自杀的患病率和社会人口学差异，使用的数据来自印度国家精神卫生调查（NMHS），2015-16.Methods受过训练的现场数据收集者从NMHS获得的信息自杀（在过去的一个月）从社区样本的成年人年龄在18岁及以上使用自杀模块的小型国际神经精神访谈（6.0版）。自杀倾向被分为低、中、高和总体（代表任何自杀倾向），并使用标准化抽样权重检查社会人口统计学差异。对于12个被调查的州，我们计算了男性和女性的年龄标准化自杀率，加权自杀率的男女比例，自杀率与自杀死亡率的比例，以及自杀未遂与自杀死亡率的比例。我们采用Logistic回归分析，以研究社会人口因素和整体自杀和severity.Findings之间的关联在34 748参与者完成interventions，5.1%（95%CI 4.7-5-6）有一定程度的自杀，和0.3%（0.2-0.4）有至少一个自杀企图在过去的一个月。女性总体自杀倾向的患病率（6.0% [5.4-6.6]）高于男性（4.1% [3-7-4-6]）。40-49岁女性和60岁或以上男性的总体自杀率最高。与他们的同行相比，个人的教育程度较低，个人居住在大城市，个人谁是丧偶，分居，离婚，失业的人有较高的整体自杀倾向的患病率。印度总体自杀率的男女比例为0.68（范围0.55-0.85）。在印度，每一个自杀死亡者中，有200多人有自杀倾向，有15次以上的自杀企图。我们发现自杀倾向的严重程度不同。我们发现女性总体自杀倾向的风险高于男性（比值比[OR] 1.54 [95%CI 1.31-1.81]; p
Background India accounts for 18% of the global population and 26.6% of global suicide deaths. However, robust population-based, nationally representative data on suicidality are not readily available to plan and implement suicide prevention programmes in India. We aimed to investigate the prevalence and sociodemographic differentials of suicidality using data from the National Mental Health Survey (NMHS) of India, 2015-16.Methods Trained field data collectors from the NMHS obtained information on suicidality (during the past month) from a community sample of adults aged 18 years and older using the suicidality module of the Mini-International Neuropsychiatric Interview (version 6.0). Suicidality was categorised as low, moderate, high, and overall (representing any suicidality), and examined for sociodemographic differentials using normalised sampling weights. For each of the 12 surveyed states, we calculated the age-standardised suicidality prevalence for men and women, men-to-women ratio of weighted suicidality prevalence, ratio of suicidality to suicide deaths, and ratio of suicide attempts to suicide deaths. We used logistic regression analysis to examine the association between sociodemographic factors and overall suicidality and severity.Findings Among 34 748 participants with complete interviews, 5.1% (95% CI 4.7-5-6) had some level of suicidality, and 0.3% (0.2-0.4) had at least one suicide attempt in the past month. The prevalence of overall suicidality was higher in women (6.0% [5.4-6.6]) than in men (4.1% [3-7-4-6]). The prevalence of overall suicidality was highest in those aged 40-49 years among women and in those aged 60 years or older among men. Compared with their counterparts, individuals with lower educational attainment, individuals residing in urban metropolitan cities, individuals who were widowed, separated, or divorced, and unemployed individuals had a higher prevalence of overall suicidality. The men-to-women ratio of overall suicidality prevalence for India was 0.68 (range 0.55-0.85). For every death by suicide in India, there were more than 200 people with suicidality and more than 15 suicide attempts. We found variations for various severities of suicidality. We found an increased risk for overall suicidality in women versus men (odds ratio [OR] 1.54 [95% CI 1.31-1.81]; p