Rates, risk factors & methods of self harm among minority ethnic groups in the UK: a systematic review
Rates, risk factors & methods of self harm among minority ethnic groups in the UK: a systematic review
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DOI：
10.1186/1471-2458-7-336
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发表时间：
2007-11-19
影响因子：
4.5
通讯作者：
Rasul, Farhat
中科院分区：
文献类型：
--
作者：
Bhui, Kamaldeep;McKenzie, Kwame;Rasul, Farhat
背景：研究表明，自残的发生率因种族而异，但尚未综合危险因素变化的证据来提供预防措施。方法：我们对英国至少两个民族的自残研究进行了系统的文献综述。结果：来自1765种书目和摘要的25种出版物符合我们的纳入标准。与南亚男性和白人女性相比，南亚女性的自伤率更高。在两项研究的综合估计中，与白人女性相比，亚洲女性更有可能自残(相对风险1.495%CI：1.1to1.8，p=0.005)，而亚洲男性自残的可能性更小(RR0.595%CI：0.4to0.7p<；0.001)。一些研究得出结论，南亚成年人的自我伤害是对生活事件的冲动反应，而不是与精神疾病有关。对青少年的研究表明，不同种族的青少年与父母和朋友之间的自我伤害和人际纠纷的方法相似。关于加勒比海、非洲和其他少数民族人群的研究很少，很少有研究采取基于人群和前瞻性的设计，也很少研究囚犯、寻求庇护者和难民之间的自残。结论：本综述发现自残的性质和表现存在种族差异。这为针对族裔的预防行动提供了理由。然而，这些文献并没有全面涵盖英国不同的种族群体。
Background: Studies suggest that the rates of self harm vary by ethnic group, but the evidence for variation in risk factors has not been synthesised to inform preventive initiatives.Methods: We undertook a systematic literature review of research about self harm that compared at least two ethnic groups in the United Kingdom.Results: 25 publications from 1765 titles and abstracts met our inclusion criteria. There was higher rate of self harm among South Asian women, compared with South Asian men and White women. In a pooled estimate from two studies, compared to their white counterparts, Asian women were more likely to self harm (Relative Risk 1.4, 95% CI: 1.1 to 1.8, p = 0.005), and Asian men were less likely to self harm (RR 0.5, 95% CI: 0.4 to 0.7, p < 0.001). Some studies concluded that South Asian adults self-harm impulsively in response to life events rather than in association with a psychiatric illness. Studies of adolescents showed similar methods of self harm and interpersonal disputes with parents and friends across ethnic groups. There were few studies of people of Caribbean, African and other minority ethnic groups, few studies took a population based and prospective design and few investigated self harm among prisoners, asylum seekers and refugees.Conclusion: This review finds some ethnic differences in the nature and presentation of self harm. This argues for ethnic specific preventive actions. However, the literature does not comprehensively cover the UK's diverse ethnic groups.