Social Status and Suicidal Activity Among Psychiatric Patients: Moderating Effects of Gender, Race and Psychiatric Diagnosis.
Social Status and Suicidal Activity Among Psychiatric Patients: Moderating Effects of Gender, Race and Psychiatric Diagnosis.
复制标题
精神病患者的社会地位和自杀活动：性别，种族和精神病学诊断的调节作用。
DOI：
10.1080/13811118.2018.1506845
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发表时间：
2019-10
期刊：
影响因子：
--
通讯作者：
Harrow M
中科院分区：
文献类型：
--
作者：
Kaplan KJ;Harrow M
自杀和社会阶层之间的关系被证明是复杂的。涂尔干预测自杀率会随着社会地位的增加而增加，而其他人则持相反的观点。结果喜忧参半。在一些研究中，自杀率随着社会地位的提高而增加，而在另一些研究中，这两个变量呈反比关系。这些研究主要是在一般的非精神病人群中进行的。相反，本研究在指数住院后对400名精神病患者（通过精神病诊断进行区分）进行了20年的前瞻性纵向样本检验了这种关系。其中，160名患者表现出一些自杀风险的迹象（87例有自杀意念，41例有自杀企图，32例自杀完成）。一个复杂的模式出现在精神病诊断、性别和种族之间。绝大多数患者在社会地位和自杀风险之间没有统计学上的显著关系。然而，在两个截然不同的极端情况下，确实出现了巨大的差异。被诊断为非精神病性抑郁症的白人女性在社会地位和自杀风险之间表现出正相关（p< 0.01），而被诊断为精神分裂症的黑人男性在这两个变量之间表现出负相关（p< 0.02）。社会地位与精神病患者自杀之间的关系因种族、性别和精神病诊断而异，在这个复杂而重要的话题上需要做更多的研究，特别是关于精神病患者的样本。社会失范的作用值得研究。
The relationship between suicide and social class has proved to be complex. Durkheim predicted suicide rate would increase with social status, while others thought the opposite. Results have been mixed. In some studies, suicidality has increased with increasing social status, and in other studies, the two variables have had an inverse relationship. These studies have been primarily conducted on general non-psychiatric populations The present study, in contrast, examines this relationship on a twenty-year prospective longitudinal sample of 400 psychiatric patients (differentiated by psychiatric diagnosis) after index hospitalization. Of these, 160 patients show some sign of suicide risk (87 cases of suicidal ideation, 41 of suicide attempts and 32 suicide completions). A complicated pattern emerges across psychiatric diagnosis, gender and race. The great majority of patients show no statistically significant relationship between social status and suicide risk. At the maximally different extremes, however, a dramatic difference does emerge. White women diagnosed with nonpsychotic depression show a positive relationship between social status and suicide risk (p<.01) while black men diagnosed with schizophrenia show a negative relationship between these two variables (p<.02). The relationship between social status and suicidality among psychiatric patients varies across race, gender and psychiatric diagnosis More research needs to be done on this complex and important topic, especially with regard to samples of psychiatric patients. The role of anomie should be studied.
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影响因子：
6.3
作者：
KREITMAN, N;CARSTAIRS, V;DUFFY, J
通讯作者：
DUFFY, J
影响因子：
4.5
作者：
Lewine, RRJ
通讯作者：
Lewine, RRJ
影响因子：
3.2
作者：
Kaplan, Kalman J.;Harrow, Martin;Faull, Robert N.
通讯作者：
Faull, Robert N.
影响因子：
6.7
作者：
Lee, S.;Fung, S. C.;Kessler, R. C.
通讯作者：
Kessler, R. C.
影响因子：
6.7
作者：
Alaräisänen, A.;Miettunen, J.;Isohanni, M.
通讯作者：
Isohanni, M.