Case-control study of suicide in Karachi, Pakistan
Case-control study of suicide in Karachi, Pakistan
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DOI：
10.1192/bjp.bp.107.042069
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发表时间：
2008-11-01
影响因子：
10.5
通讯作者：
Prince, Martin
中科院分区：
文献类型：
--
作者：
Khan, Murad Moosa;Mahmud, Sadia;Prince, Martin
近年来，自杀已成为巴基斯坦的一个主要公共卫生问题。目的确定与巴基斯坦卡拉奇自杀有关的主要危险因素。方法配对病例-对照心理解剖研究。对100名连续自杀的人进行了访谈，这些人的年龄、性别和居住地区与100名生活对照相匹配。结果单因素分析和条件logistic回归模型结果均表明，巴基斯坦自杀的预测因子为精神疾病（尤其是抑郁症）、婚姻状况（已婚）、失业以及消极和紧张的生活事件。只有少数人在自杀时正在接受治疗。所有受害者在自杀前一个月都没有接触过医疗专业人员。结论：巴基斯坦的自杀与抑郁症密切相关，而抑郁症未得到充分认识和治疗。缺乏有效的初级卫生保健系统，可以将心理健康纳入其中，这对巴基斯坦的自杀预防构成了独特的挑战。利益声明资金详情见致谢。
BackgroundIn recent years suicide has become a major public health problem in Pakistan.AimsTo identify major risk factors associated with suicides in Karachi, Pakistan.MethodA matched case-control psychological autopsy study. interviews were conducted for 100 consecutive suicides, which were matched for age, gender and area of residence with 100 living controls.ResultsBoth univariate analysis and conditional logistic regression model results indicate that predictors of suicides in Pakistan are psychiatric disorders (especially depression), marital status (being married), unemployment, and negative and stressful life events. only a few individuals were receiving treatment at the time of suicide. None of the victims had been in contact with a health professional in the month before suicide.ConclusionsSuicide in Pakistan is strongly associated with depression, which is under-recognised and under-treated, The absence of an effective primary healthcare system in which mental health could be integrated poses unique challenges for suicide prevention in Pakistan.Declaration of interestNone. Funding detailed in Acknowledgements.