Suicide Among Persons With Dementia, Georgia, 2013 to 2016
Suicide Among Persons With Dementia, Georgia, 2013 to 2016
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DOI：
10.1177/0891988718814363
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发表时间：
2019-01-01
影响因子：
2.6
通讯作者：
Simon, Thomas R.
中科院分区：
文献类型：
--
作者：
Annor, Francis B.;Bayakly, Rana A.;Simon, Thomas R.
引言：研究痴呆症和自杀之间关系的研究结果并不一致。本研究探讨失智症患者自杀的特徴、诱因及危险因子。研究方法：来自格鲁吉亚阿尔茨海默病和相关痴呆症登记处的数据与2013年至2016年来自格鲁吉亚重要记录和格鲁吉亚暴力死亡报告系统的数据相关联。计算描述性统计量，并使用逻辑回归分析自杀的危险因素。结果：确定了91名死于自杀的格鲁吉亚痴呆症居民。在已知情况的死者中，常见的诱因包括情绪抑郁（38.7%）和身体健康问题（72.6%）。痴呆症患者的自杀率总体为每10万人年9.3人，在过去12个月内确诊的患者中自杀率显著较高（每10万人年424.5人）。作为男性，在65岁之前诊断出痴呆症，以及最近诊断出痴呆症是自杀的独立预测因素，但不是抑郁症或心血管疾病。结论：识别有风险的个人，提供支持，并确保被诊断患有痴呆症的人的护理的连续性的预防策略可能有助于减少这一人群的自杀。
Introduction: Findings from studies examining the relationship between dementia and suicide have been inconsistent. This study examined the characteristics, precipitants, and risk factors for suicide among persons with dementia. Methods: Data from the Georgia Alzheimer's Disease and Related Dementia registry were linked with 2013 to 2016 data from Georgia Vital Records and Georgia Violent Death Reporting System. Descriptive statistics were calculated and logistic regression was used to examine risk factors for suicide. Results: Ninety-one Georgia residents with dementia who died by suicide were identified. Among decedents with known circumstances, common precipitants included depressed mood (38.7%) and physical health problems (72.6%). Suicide rate among persons with dementia was 9.3 per 100 000 person-years overall and substantially higher among those diagnosed in the past 12 months (424.5/100 000 person-years). Being male, dementia diagnosis before age 65, and a recent diagnosis of dementia independently predicted suicide, but not depression or cardiovascular diseases. Conclusion: Prevention strategies that identify at-risk individuals, provide support, and ensure continuity of care for persons diagnosed with dementia may help reduce suicide in this population.