Personal debt and suicidal ideation
Personal debt and suicidal ideation
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DOI：
10.1017/s0033291710001261
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发表时间：
2011-04-01
影响因子：
6.9
通讯作者：
Dennis, M. S.
中科院分区：
文献类型：
--
作者：
Meltzer, H.;Bebbington, P.;Dennis, M. S.
背景个人债务是与焦虑、抑郁和自杀相关的众多因素之一。本研究的目的是探讨个人债务和自杀意念之间的关系，在社会人口因素，就业和收入，生活方式的行为，以及最近经历的创伤事件。访谈进行了随机概率样本，包括7461名受访者的第三次全国调查的成年人在英格兰的精神疾病发病率。2007年全年开展了实地工作。评估过去一周、过去一年和一生中自杀念头的流行率，并记录当前的债务来源。2007年，4.3%的英格兰成年人在过去12个月内曾想过自杀，从55岁以上男性的1.8%到35-54岁女性的7.0%不等。在控制了社会人口、经济、社会和生活方式等因素后，那些负债的人考虑自杀的可能性是其他人的两倍。分期付款或邮购还款困难，以及偿还信用卡债务，以及与住房相关的债务（租金和抵押贷款欠款），与自杀念头密切相关。绝望的感觉部分介导的债务和自杀意念之间的关系。债务数量、债务来源和债务原因是自杀意念的关键相关因素。由于失业或关系破裂或负有沉重的照顾责任而在偿还债务方面遇到困难的个人，除了债务咨询外，还可能需要进行精神病评估。
Background. Personal debt is one of many factors associated with anxiety, depression and suicidality. The aim of this study was to examine the relationship between personal debt and suicidal ideation in the context of sociodemographic factors, employment and income, lifestyle behaviours, and recently experienced traumatic events.Method. Interviews were conducted with a random probability sample comprising 7461 respondents for the third national survey of psychiatric morbidity of adults in England. Fieldwork was carried out throughout 2007. The prevalence of suicidal thoughts in the past week, past year and lifetime was assessed and current sources of debt were recorded.Results. In 2007, 4.3% of adults in England had thought about taking their own life in the past 12 months, ranging from 1.8% of men aged >= 55 years to 7.0% of women aged 35-54 years. Those in debt were twice as likely to think about suicide after controlling for sociodemographic, economic, social and lifestyle factors. Difficulty in making hire purchase or mail order repayments and paying off credit card debt, in addition to housing-related debt (rent and mortgage arrears), was strongly associated with suicidal thoughts. Feelings of hopelessness partially mediated the relationship between debt and suicidal ideation.Conclusions. The number of debts, source of the debt and reasons for debt are key correlates of suicidal ideation. Individuals experiencing difficulties in repaying their debts because they are unemployed or have had a relationship breakdown or have heavy caring responsibilities may require psychiatric evaluation in addition to debt counselling.