Risk factors for male and female suicide decedents ages 15–64 in the United States

Risk factors for male and female suicide decedents ages 15–64 in the United States
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男性和女性的危险因素

DOI:
--
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发表时间:
2003
影响因子:
4.4
通讯作者:
Xinhua Liu
Xinhua Liu
中科院分区:
医学2区
文献类型:
--
作者:
Hsiang;J. Pearson;Xinhua Liu

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摘要.背景:很少 对照研究检查了可能的性别差异 自杀的危险因素。这篇论文考察了这些协会 男性和女性自杀的某些危险因素 15岁--,以及不同性别之间的联系差异。 方法:病例对照研究 是由1993年的《国家死亡率回忆录》 在美国的一项调查。关于年龄、种族、 教育,生活安排,大麻使用,过量饮酒 消费,获得枪支,抑郁症状,以及 通过死亡收集精神卫生服务利用情况 证书和委托书答辩人。年以下年龄之间的死者 15和自杀身亡与死亡人数进行比较 自然原因造成的。采用Logistic回归分析进行统计学分析。 研究危险因素与自杀之间的关系 雄性和雌性。结果: 与那些自然死亡的人相比,我们发现 使用大麻,过度饮酒,以及获得 枪支增加了男女自杀的几率。适用于男性 死者中,抑郁症状的存在较多 45岁自杀死亡高发报道-- 精神卫生服务的使用比例为 在没有完成高中学业的自杀死者中,这一比例更高。 对于女性死者,抑郁症状与 所有年龄段的自杀和使用精神卫生服务的情况 在15-29岁和45岁的自杀事件中更常见- 组。结论:风险 大麻使用、过度饮酒和枪支的因素 生命最后一年的可获得性增加了 自杀的男女都有。与自然死亡相比, 抑郁症状在女性自杀中很常见 而它只与老年人中的年龄有关 男性自杀死者。心理健康的相互作用 人口统计因素显示的服务使用情况可能存在性别差异 自杀风险与精神疾病严重程度的差异 疾病,以及治疗的可能性 寻找。
Abstract.Background: Few controlled studies have examined possible gender differences in risk factors for suicide. This paper examined the associations of certain risk factors with suicide among males and females aged 15–64, and the variation in the associations by gender. Methods: A case-control study was constructed from the 1993 National Mortality Followback Survey in the United States. Information concerning age, race, education, living arrangement, marijuana use, excessive alcohol consumption, access to a firearm, depressive symptoms, and mental health service utilization was collected via death certificate and proxy respondent. Decedents between the ages of 15 and 64 who died by suicide were compared with those who died of natural causes. Logistic regression analysis was used to examine the associations between risk factors and suicide in males and females. Results: In comparison to those who died of natural causes, we found that marijuana use, excessive alcohol consumption, and access to a firearm increased the odds of suicide for both genders. For male decedents, the presence of depressive symptoms was more frequently reported for the suicide decedents in the 45–64 age group, and the proportion of mental health service use was higher among suicide decedents who did not complete high school. For female decedents, depressive symptoms were related to suicide in all age groups, and the use of mental health services was more frequent in the suicides of the 15–29 and 45–64 age groups. Conclusions: The risk factors of marijuana use, excessive alcohol use, and firearm accessibility in the last year of life increased the odds of suicide in both genders. When compared to natural deaths, depressive symptomatology was common in female suicide decedents, whereas it was only associated with older age among male suicide decedents. The interactions of mental health service use with demographic factors suggested possible gender differences in suicide risk associated with severity of mental disorders, as well as the likelihood of treatment seeking.
DOI: --
发表时间: 1998
期刊: The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry
影响因子: --
作者:
Conwell,Y;Duberstein,PR;Cox,C;Herrmann,J;Forbes,N;Caine,ED
通讯作者: Caine,ED
DOI: 10.1176/ajp.153.8.1001
发表时间: 1996-08
期刊: The American journal of psychiatry
影响因子: --
作者:
Y. Conwell;P. Duberstein;C. Cox;John H. Herrmann;N. Forbes;E. Caine
通讯作者: Y. Conwell;P. Duberstein;C. Cox;John H. Herrmann;N. Forbes;E. Caine
DOI: 10.1046/j.1360-0443.1999.949141312.x
发表时间: 1999
期刊: Addiction (Abingdon, England)
影响因子: --
作者:
VanEtten,ML;Neumark,YD;Anthony,JC
通讯作者: Anthony,JC
DOI: 10.1097/00004583-199912000-00010
发表时间: 1999-12-01
影响因子: 13.3
作者:
Brent, DA;Baugher, M;Chiappetta, L
通讯作者: Chiappetta, L
DOI: 10.1176/ajp.149.3.371
发表时间: 1992
期刊: The American journal of psychiatry
影响因子: --
作者:
Marzuk,PM;Tardiff,K;Leon,AC;Stajic,M;Morgan,EB;Mann,JJ
通讯作者: Mann,JJ