Risk factors for suicidality in Europe: Results from the ESEMED study
Risk factors for suicidality in Europe: Results from the ESEMED study
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DOI：
10.1016/j.jad.2006.09.018
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发表时间：
2007-08-01
影响因子：
6.6
通讯作者：
Alonso, J.
中科院分区：
文献类型：
--
作者：
Bernal, M.;Haro, J. M.;Alonso, J.
背景：自杀流行病学的精确知识为设计预防方案提供了必要的信息。本研究的目的是调查欧洲一般人群中自杀想法和企图的流行率及其相关性。方法：欧洲精神疾病流行病学研究（ESEMED）是一项在非机构化成年人的概率代表性样本中进行的横断面家庭调查欧洲六国（比利时、法国、德国、意大利、荷兰和西班牙）18岁或以上的儿童。复合国际诊断访谈（CIDI3.0）管理的21,425 individual.Results：自杀意念的终身患病率为7.8%，自杀企图的1.3%。作为女性，年轻，离婚或丧偶与自杀意念和企图的患病率较高。精神病诊断与自杀倾向密切相关。其中，重性抑郁发作（终生想法和终生尝试的比率分别为2.9和4.8）、心境恶劣（RR分别为2.0和1.6）、广泛性焦虑（RR分别为1.8和2.3）、创伤后应激障碍（RR分别为1.9和2.0）和酒精依赖（RR分别为1.7和2.5）是最重要的。终身自杀企图的人口归因风险为28%for major depression.Limitations：关于自杀的想法和企图的信息是自我报告的，精神病诊断是使用完全结构化的外行访谈，而不是临床医生管理的interviews.Conclusions：尽管有意义的国家的患病率变化，自杀的危险因素是一致的，在欧洲国家。人口预防方案应侧重于早期诊断和治疗严重抑郁症和酗酒以及最近出现自杀念头的人。(c)2006 Elsevier B. V.保留所有权利。
Background: Precise knowledge of the epidemiology of suicidality provides necessary information for designing prevention programs. The aims of the present study were to investigate the prevalence and correlates of suicidal ideas and attempts in the general population of Europe.Methods: The European Study on the Epidemiology of Mental Disorders (ESEMED) is a cross-sectional household survey carried out in a probability representative sample of non-institutionalised adults (aged 18 years or older) of six European countries (Belgium, France, Germany, Italy, the Netherlands and Spain). The Composite International Diagnostic Interview (CIDI 3.0) was administered to 21,425 individuals.Results: Lifetime prevalence of suicidal ideation was 7.8% and of suicidal attempts 1.3%. Being women, younger and divorced or widowed were associated with a higher prevalence of suicide ideation and attempts. Psychiatric diagnoses were strongly related to suicidality. Among them, major depressive episode (Rate ratio 2.9 for lifetime ideas and 4.8 for lifetime attempts), dysthymia (RR 2.0 and 1.6), GAD (RR 1.8 and 2.3 for lifetime), PTSD (RR 1.9 and 2.0) and alcohol dependence (RR 1.7 and 2.5) were the most important. Population attributable risks for lifetime suicidal attempt was 28% for major depression.Limitations: Information about suicidal ideas and attempts was self reported, psychiatric diagnoses were made using fully structured lay interviews rather than clinician-administered interviews.Conclusions: In spite of meaningful country variation in prevalence, risk factors for suicidality are consistent in the European countries. Population prevention programmes should focus on early diagnosis and treatment of major depression and alcohol abuse and in those individuals with recent appearance of suicidal ideas. (c) 2006 Elsevier B.V. All rights reserved.