Access to firearms and risk for suicide in middle-aged and older adults
Access to firearms and risk for suicide in middle-aged and older adults
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DOI：
10.1176/appi.ajgp.10.4.407
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发表时间：
2002-07-01
影响因子：
7.2
通讯作者：
Caine, ED
中科院分区：
文献类型：
--
作者：
Conwell, Y;Duberstein, PR;Caine, ED
老年白色男性自杀风险最高。枪支是最常见的自杀方式，男性和女性都使用，年龄较大的自杀者比年轻的自杀者使用枪支的比例更大。这项心理解剖研究旨在检验与获得和储存枪支有关的自杀风险的假设。研究对象包括86名年龄在50岁及以上的自杀者和86名在年龄、性别、种族和居住地上相匹配的社区对照组。即使在控制了精神疾病之后，家中存在枪支也与自杀风险增加有关。高风险的湿占获得手枪，而不是长枪，并在男性比女性更明显。在家中有枪的受试者中，储存已上膛和未上锁的武器是自杀的独立预测因素。研究结果支持限制获得手枪对预防自杀的潜在好处。对老年人、他们的家人和医疗保健提供者进行关于家中有枪的风险的教育计划，并加强安全储存规则，可能有助于降低老年人的自杀率。
Elderly white men are at the highest risk for suicide. Firearms arc, the most common method of suicide used by both men and women in later lift, and a greater proportion of older than younger suicide victims use a gun. This psychological autopsy study aimed to test hypotheses concerning the risk for suicide associated with access to and storage of firearms. Subjects included 86 suicide victims age 50 years of age and over and 86 community control subjects individually matched on age, sex, race, and county of residence. Presence of a firearm in the home was associated with increased risk for suicide, even after controlling for psychiatric illness. Elevated risk wets accounted for by access to handguns rather than long guns and was more pronounced in men than women. Among subjects who kept a gun in the home, storing the weapon loaded and unlocked were independent predictors of suicide. Findings support the potential benefit for suicide prevention of restricting access to handguns. Education programs for older persons, their families, and healthcare providers concerning the risks of having a gun in the home and reinforcement of rules for safe storage may contribute to reducing the rate of suicide in older people.