Frequent Change of Residence and Risk of Attempted and Completed Suicide Among Children and Adolescents
Frequent Change of Residence and Risk of Attempted and Completed Suicide Among Children and Adolescents
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DOI：
10.1001/archgenpsychiatry.2009.20
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发表时间：
2009-06-01
影响因子：
--
通讯作者：
Pedersen, Carsten Bocker
中科院分区：
文献类型：
--
作者：
Qin, Ping;Mortensen, Preben Bo;Pedersen, Carsten Bocker
背景：当代社会，人们经常更换居住地。然而，大规模的人口研究记录的影响，频繁的移动对心理健康的儿童和青少年是limited.Objective：为了评估的影响，经常改变居住地的风险企图和完成自杀among children and adolescents.Design，Setting，and Participants：我们使用的数据从丹麦纵向人口登记处，以确定所有的儿童出生于1978年至1995年在丹麦;这些儿童中有4160人试图自杀，79人在11至17岁时自杀。我们采用巢式病例对照设计，每个病例招募30名对照，在性别、年龄和日历时间上进行单独匹配。主要结果测量：我们使用条件logistic回归计算与先前居住地变化次数相关的自杀未遂和/或自杀完成的发生率比率。我们观察到居住地址的改变会显著增加自杀未遂的风险，并且这种关联有明显的剂量反应趋势--搬家的频率越高，自杀未遂的风险就越高在控制了出生时可能的混杂因素（即出生顺序、出生地、与父亲的联系和父母出生时的年龄）后，这一趋势保持不变。然而，在控制了孩子自己的精神病发病率和失去母亲或父亲以及父母的精神病史后，它有所减弱，但仍然很重要。所观察到的关联既没有修改的性别，也没有年龄在移动的时候。自杀完成者的进一步分析表明，一个类似的协会之间的变化的居住地和完成suicid.Conclusions：频繁的居住地变化可能会引起儿童的困扰，因此，增加他们的自杀行为的风险。需要更多的研究来探索这种联系。
Context: In contemporary society, people change their place of residence frequently. However, large-scale population studies documenting the influence of frequent moves on mental health among children and adolescents are limited.Objective: To evaluate the influence of frequent change of residence on risk of attempted and completed suicide among children and adolescents.Design, Setting, and Participants: We used data from Danish longitudinal population registries to identify all children born from 1978 to 1995 in Denmark; 4160 of these children attempted suicide, and 79 completed suicide at ages 11 to 17 years. We adopted a nested case-control design and recruited 30 controls per case, matched individually on sex, age, and calendar time.Main Outcome Measure: We used conditional logistic regression to compute the incidence rate ratio for attempted and/or completed suicide associated with the number of previous changes of residence.Results: We observed a significantly increased risk of attempted suicide associated with changes of living address, and there was an apparent dose-response trend for this association-the more frequent incidence of moving, the higher the risk for attempted suicide. This trend remained the same after controlling for possible confounding factors at birth, ie, birth order, birthplace, link to a father, and parental age at birth. However, it was somewhat attenuated, but still significant, after controlling for the child's own psychiatric morbidity and loss of a mother or father, as well as parental psychiatric history. The observed association was neither modified by sex nor age at the time of moving. Further analyses of suicide completers demonstrated a similar association between change of residence and completed suicide.Conclusions: Frequent change of residence may induce distress among children and, therefore, increase their risk of suicidal behavior. More research is needed to explore this association.