Medical conditions and nearly lethal suicide attempts
Medical conditions and nearly lethal suicide attempts
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DOI：
10.1521/suli.32.1.5.60.24207
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发表时间：
2001-01-01
影响因子：
3.2
通讯作者：
Swahn, MH
中科院分区：
文献类型：
--
作者：
Ikeda, RM;Kresnow, MJ;Swahn, MH
身体疾病已被研究为自杀行为的风险因素，但对年轻人之间的这种关系知之甚少。我们于1992年11月至1995年9月在德克萨斯州休斯敦进行了一项以人群为基础的病例对照研究。最终样本包括153名病例受试者和513名对照受试者，年龄在13岁到34岁之间。病例患者在医院急诊科被确认，并符合近乎致命的自杀未遂的标准。对照受试者通过随机数字拨号电话调查招募。病例组比对照组更容易报告有任何严重疾病(粗略OR=3.23；95%可信区间2.12~4.91)。在控制了年龄、种族/民族、酗酒、抑郁和绝望后，男性调整后的优势比为4.76(95%CI=1.87-12.17)，而女性调整后的优势比为1.60(95%CI-0.62-4.17)，这表明有医疗条件的年轻男性几乎致命的自杀企图的风险增加。需要更多的努力来识别和适当地转介这些患者。
Physical illness has been studied as a risk factor for suicidal behavior, but little is known about this relationship among younger persons. We conducted a population-based, case-control study in Houston, Texas, from November 1992 through September 1995. The final sample consisted of 153 case- and 513 control-subjects aged 13 to 34 years. Case patients were identified at hospital emergency departments and met criteria for a nearly lethal suicide attempt. Control subjects were recruited via a random-digit-dial telephone survey. Case patients were more likely than controls to report having any serious medical conditions (crude OR = 3.23; 95% CI 2.12-4.91). After controlling for age, race/ethnicity, alcoholism, depression, and hopelessness, the adjusted odds ratio for men was 4.76 (95% Cl = 1.87-12.17), whereas the adjusted odds ratio for women was 1.60 (95% CI-0.62-4.17), suggesting that young men with medical conditions are at increased risk for nearly lethal suicide attempts. Increased efforts to identify and appropriately refer these patients are needed.