Social support as a protective factor in suicide: findings from two nationally representative samples.
Social support as a protective factor in suicide: findings from two nationally representative samples.
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DOI：
10.1016/j.jad.2013.01.033
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发表时间：
2013-09-05
影响因子：
6.6
通讯作者：
Liu, Richard T.
中科院分区：
文献类型：
--
作者：
Kleiman, Evan M.;Liu, Richard T.
关键词：
自杀是一个全球关注的问题，需要对可能的保护因素进行研究。我们探讨了社会支持作为其中一个因素的作用。具体来说，我们假设在两个具有全国代表性的样本和一个高风险的子样本中，社会支持的增加与终生自杀企图的可能性降低有关。我们在美国样本的国家共病研究复制（NCS-R）和英国样本的成人精神疾病发病率研究（APMS）中分析了社会支持与自杀企图的终生史之间的关系，控制了各种相关的精神病理学和人口统计学变量。结果表明，在美国全样本（OR = 0.68, p < 0.001）和英国全样本（OR = 0.93, p < 0.01）中，社会支持与降低终生自杀企图的可能性有关。横断面数据不允许进行真正的因果分析。我们的研究结果表明，社会支持与降低终身自杀企图的可能性有关。社会支持是一个高度可改变的因素，可以用来改善世界范围内现有的自杀预防计划。
Suicide is a problem of worldwide concern and research on possible protective factors is needed. We explored the role of social support as one such factor. Specifically, we hypothesized that increased social support would be associated with decreased likelihood of a lifetime suicide attempt in two nationally representative samples as well as a high-risk subsample. We analyzed the relationship between social support and lifetime history of a suicide attempt, controlling for a variety of related psychopathology and demographic variables, in the National Comorbidity Study Replication (NCS-R), a United States sample and the Adult Psychiatric Morbidity Study (APMS), an English sample. Results indicate that social support is associated with decreased likelihood of a lifetime suicide attempt controlling for a variety of related predictors in both the full US sample (OR = 0.68, p < .001) and the full English sample (OR = 0.93, p < .01). The cross-sectional data do not allow true cause and effect analyses. Our findings suggest social support is associated with decreased likelihood of a lifetime suicide attempt. Social support is a highly modifiable factor that can be used to improve existing suicide prevention programs worldwide.
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