Association between functional disability type and suicide-related outcomes among U.S. adults with disabilities in the National Survey on Drug Use and Health, 2015-2019.
Association between functional disability type and suicide-related outcomes among U.S. adults with disabilities in the National Survey on Drug Use and Health, 2015-2019.
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DOI：
10.1016/j.jpsychires.2022.07.014
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发表时间：
2022-09
影响因子：
4.8
通讯作者：
V. Kirby, Anne
中科院分区：
文献类型：
--
作者：
Marlow, Nicole M.;Xie, Zhigang;Tanner, Rebecca;Jacobs, Molly;Hogan, Michaela K.;Joiner Jr, Thomas E.;V. Kirby, Anne
虽然对残疾人（PWD）自杀行为的研究表明，他们比没有残疾的人经历更高的风险，但对不同残疾类型的个体之间的差异知之甚少。这项具有全国代表性的横断面研究比较了不同功能残疾类型（听力，视力，认知，移动性，复杂活动）和数量的PWD之间自杀相关结局（构思，计划，尝试）的差异。使用2015-2019年全国药物使用和健康调查中成人PWD的二次分析（未加权N= 35，544;代表47，723，378 PWD，加权）来估计自杀相关结局与残疾类型和数量之间的关系。大多数受访者为女性（55.9%），36.0%的受访者年龄≥65岁。多变量logistic回归的校正优势比（AOR）表明，自杀意念和自杀企图分别在认知障碍的个体中显著更有可能，（AOR=1.71，95% CI=1.24-2.35; AOR=2.54，95% CI=1.31-4.91），复合物活性（AOR=1.96，95%CI =1.37-2.81; AOR=2.67，95%CI =1.32-5.41）和≥2个听力受限（AOR=2.02，95%CI =1.52-2.69; AOR=3.46，95%CI =1.84-6.50）。此外，相对于其他残疾类型，自杀相关的结果在认知限制和复杂活动限制的个体中显着更可能（p<0.001）。此外，随着限制数量的增加，自杀相关结局的可能性增加，其中自杀意念（AOR=2.31，95% CI=1.46-3.66）、自杀计划（AOR=3.34，95% CI=1.97-5.68）和自杀企图（AOR=6.37，95% CI=3.76-10.79）限制≥5的患者中相关性最大。亚组分析显示，存在认知限制和多重限制区分自杀意念者和自杀未遂者。需要进一步的研究来确定这些风险的原因，并为这些特别脆弱的群体制定自杀预防措施。
While research on suicidal behavior for people with disability (PWD) suggests they experience higher risk than people without disability, less is known about variations among individuals with different disability types. This nationally representative, cross-sectional study compared differences in suicide-related outcomes (ideation, planning, attempts) among PWD by functional disability type (hearing, vision, cognitive, mobility, complex activity) and number. Secondary analysis of adult PWD in the 2015-2019 National Survey on Drug Use and Health (unweighted N=35,544; representing 47,723,378 PWD, weighted) was used to estimate relationships between suicide-related outcomes and disability type and number. Most respondents were female (55.9%), and 36.0% were aged ≥65 years. Adjusted odds ratios (AORs) from multivariable logistic regression indicated that suicidal ideation and suicide attempt, respectively, were significantly more likely among individuals with cognitive (AOR=1.71, 95% CI=1.24-2.35; AOR=2.54, 95% CI=1.31-4.91), complex activity (AOR=1.96, 95% CI=1.37-2.81; AOR=2.67, 95% CI=1.32-5.41), and ≥2 limitations (AOR=2.02, 95% CI=1.52-2.69; AOR=3.46, 95% CI=1.84-6.50) than hearing limitation. Also, relative to other disability types, suicide-related outcomes were significantly more likely among individuals with cognitive limitation and complex activity limitation (p<0.001). Additionally, suicide-related outcomes elevated in likelihood as the number of limitations increased, with the largest associations among those with ≥5 limitations for suicidal ideation (AOR=2.31, 95% CI=1.46-3.66), suicide planning (AOR=3.34, 95% CI=1.97-5.68), and suicide attempt (AOR=6.37, 95% CI=3.76-10.79). Subgroup analyses showed that presence of cognitive limitation and multiple limitations differentiated between suicidal ideators and suicide attempters. Further research is needed to identify causes of these risks and develop suicide prevention efforts for these particularly vulnerable groups.
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影响因子：
3.6
作者：
Bond KS;Cottrill FA;Kelly L;Broughan J;Davies K;Ross AM;Kelly CM
通讯作者：
Kelly CM
DOI：
10.2190/3qxd-ur0h-k8fh-2cu8
发表时间：
2006-01-01
影响因子：
2
作者：
Kim, Yeowon A.;Bogner, Hillary R.;Gallo, Joseph J.
通讯作者：
Gallo, Joseph J.
影响因子：
4.7
作者：
Filiberti, A;Ripamonti, C;Tamburini, M
通讯作者：
Tamburini, M
影响因子：
12.7
作者：
Gerst-Emerson, Kerstin;Jayawardhana, Jayani
通讯作者：
Jayawardhana, Jayani
DOI：
10.1111/cpsp.12134
发表时间：
2016-03
期刊：
Clinical psychology : a publication of the Division of Clinical Psychology of the American Psychological Association
影响因子：
--
作者：
Burke TA;Alloy LB
通讯作者：
Alloy LB