Age and gender differences among Australian suicide ideators - Prevalence and correlates

Age and gender differences among Australian suicide ideators - Prevalence and correlates
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DOI:
10.1097/01.nmd.0000254746.15325.fa
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发表时间:
2007-02-01
影响因子:
1.9
通讯作者:
Christensen, Helen
Christensen, Helen
中科院分区:
医学4区
文献类型:
--
作者:
Fairweather, A. Kate;Anstey, Kaarin J.;Christensen, Helen

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我们调查了自杀意念的患病率和相关的澳大利亚人口样本在成年的三个阶段。随机抽取一个社区7485名参与者。队列年龄分别为20 ~ 24岁、40 ~ 44岁、60 ~ 64岁,12个月自杀意念患病率为8.2%。自杀意念在最年轻的人群中最高。患有慢性身体疾病的男性更容易产生自杀念头,20至24岁和60至64岁的男性也是如此。此外,60至64岁的未充分就业的受试者产生自杀念头的可能性是全职工作的同龄人的7倍。童年逆境和反刍与自杀倾向呈正相关;然而,认为自己更有主见与较低水平的自杀意念有关。与临床和流行的观点相反,我们的研究结果强调了最近的非心理健康变量,如就业、身体健康、社会因素和个性,对经历自杀意念和心理困扰症状同样重要。
We investigated the prevalence and correlates of suicidal ideation in an Australian population sample at three stages of adulthood. Random sampling of a community acquired 7485 participants. Cohorts were 20 to 24, 40 to 44, or 60 to 64 years old, Twelve-month prevalence of suicidal ideation was 8.2%. Suicidal ideation was highest among the youngest cohort. Males with chronic physical illness were more prone to suicidal ideation, as were those aged 20 to 24 and 60 to 64. Furthermore, underemployed subjects 60 to 64 years old were seven times more likely to experience suicidal ideation than their counterparts working full-time. Childhood adversity and rumination had positive associations with suicidality; however, considering oneself more masterful was linked with lower levels of suicidal ideation. Contrary to clinical and popular views, our results highlight that proximal nonmental health variables such as employment, physical health, social factors, and personality are equally important to experiencing suicidal ideation as symptoms of psychological distress.