Trends in suicide ideation, plans, gestures, and attempts in the United States, 1990-1992 to 2001-2003
Trends in suicide ideation, plans, gestures, and attempts in the United States, 1990-1992 to 2001-2003
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DOI：
10.1001/jama.293.20.2487
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发表时间：
2005-05-25
影响因子：
120.7
通讯作者：
Wang, PS
中科院分区：
文献类型：
--
作者：
Kessler, RC;Berglund, P;Wang, PS
关于自杀意念、计划、姿势或企图的趋势或其治疗方法知之甚少。这些数据需要指导和评估政策，以减少suicide-related behaviors.Objective自杀意念，计划，手势，企图，和他们的treatment.Design，设置，和参与者的数据来自1990-1992年全国科摩罗调查和2001-2003年全国科摩罗调查复制全国代表性的趋势数据进行分析。这些调查向9708名年龄在18至54岁之间的人提出了关于过去一年自杀意念、计划、姿势、企图和治疗的相同问题。使用合并逻辑回归分析评价趋势。结果1990-1992年和2001-2003年美国居民自杀意念发生率无显著性差异（P > 0. 05），自杀意念发生率与2001-2003年相比无显著性差异（P > 0. 05（2.8% vs 3.3%; P=.43），计划（0.7% vs 1.0%; P=.15），手势（0.3% vs 0.2%; P=.24），或尝试（0.4%-0.6%; P= 0.45），而构思者中计划的条件流行率显著增加（从19.6%到28.6%; P= 0.04），计划者中手势的条件流行率显著下降（从21.4%到6.4%; P= 0.003）。治疗显着增加的想法谁做了一个手势（40.3%比92.8%）和想法谁做了一个attempt. Conclusions（49.6%比79.0%），尽管在治疗显着增加，没有显着减少发生在美国的自杀想法，计划，手势，或企图在20世纪90年代。需要继续努力，在自杀企图发生之前增加对未经治疗的自杀意念者的宣传，并提高对此类病例的治疗效果。
Context Little is known about trends in suicidal ideation, plans, gestures, or attempts or about their treatment. Such data are needed to guide and evaluate policies to reduce suicide-related behaviors.Objective To analyze nationally representative trend data on suicidal ideation, plans, gestures, attempts, and their treatment.Design, Setting, and Participants Data came from the 1990-1992 National Comorbidity Survey and the 2001-2003 National Comorbidity Survey Replication. These surveys asked identical questions to 9708 people aged 18 to 54 years about the past year's occurrence of suicidal ideation, plans, gestures, attempts, and treatment. Trends were evaluated by using pooled logistic regression analysis. Face-to-face interviews were administered in the homes of respondents, who were nationally representative samples of US English-speaking residents,Main Outcome Measure Self-reports about suicide-related behaviors and treatment in the year before interview.Results No significant changes occurred between 1990-1992 and 2001-2003 in suicidal ideation (2.8% vs 3.3%; P=.43), plans (0.7% vs 1.0%; P=.15), gestures (0.3% vs 0.2%; P=.24), or attempts (0.4%-0.6%; P=.45), whereas conditional prevalence of plans among ideators increased significantly (from 19.6% to 28.6%; P=.04), and conditional prevalence of gestures among planners decreased significantly (from 21.4% to 6.4%; P=.003). Treatment increased dramatically among ideators who made a gesture (40.3% vs 92.8%) and among ideators who made an attempt (49.6% vs 79.0%).Conclusions Despite a dramatic increase in treatment, no significant decrease occurred in suicidal thoughts, plans, gestures, or attempts in the United States during the 1990s. Continued efforts are needed to increase outreach to untreated individuals with suicidal ideation before the occurrence of attempts and to improve treatment effectiveness for such cases.