Suicide risk in relation to socioeconomic, demographic, psychiatric, and familial factors: A national register-based study of all suicides in Denmark, 1981-1997
Suicide risk in relation to socioeconomic, demographic, psychiatric, and familial factors: A national register-based study of all suicides in Denmark, 1981-1997
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DOI：
10.1176/appi.ajp.160.4.765
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发表时间：
2003-04-01
影响因子：
17.7
通讯作者：
Mortensen, PB
中科院分区：
文献类型：
--
作者：
Qin, P;Agerbo, E;Mortensen, PB
目的：自杀风险的家庭结构，社会经济学，人口统计学，精神疾病，自杀和精神疾病的家族史，以及性别差异的风险factors.Method的因素的联合作用有关：数据来自四个国家丹麦纵向登记。研究对象为1981-1997年自杀的21，169人和423，128名年龄、性别和自杀时间相匹配的现场对照组，采用嵌套病例对照设计。通过条件Logistic回归估计危险因素的影响。采用对数似然比检验检验性别与危险因素的相互作用。人口归因risk calculated.Results：在研究中检查的危险因素，精神疾病住院史与最高的优势比和自杀的最高归因风险。同居或单身婚姻状况、失业、低收入、退休、残疾、因病缺勤以及自杀和/或精神疾病家族史也是自杀的重要危险因素。此外，这些因素对男性和女性受试者的影响不同。精神疾病更可能增加自杀风险的女性比男性受试者。单身与男性受试者的自杀风险较高相关，而女性受试者的自杀风险较低。失业和低收入对男性受试者的自杀有更大的影响。生活在城市地区的女性受试者自杀风险较高，男性受试者自杀风险较低。自杀的家族史提高自杀风险略高于女性比男性subjects.Conclusions：自杀风险是强烈相关的精神疾病，失业，低收入，婚姻状况，自杀家族史。大多数风险因素的影响因性别而异。
Objective: Suicide risk was addressed in relation to the joint effect of factors regarding family structure, socioeconomics, demographics, mental illness, and family history of suicide and mental illness, as well as gender differences in risk factors.Method: Data were drawn from four national Danish longitudinal registers. Subjects were all 21,169 persons who committed suicide in 1981-1997 and 423,128 live comparison subjects matched for age, gender, and calendar time of suicide by using a nested case-control design. The effect of risk factors was estimated through conditional logistic regression. The interaction of gender with the risk factors was examined by using the log likelihood ratio test. The population attributable risk was calculated.Results: Of the risk factors examined in the study, a history of hospitalization for psychiatric disorder was associated with the highest odds ratio and the highest attributable risk for suicide. Cohabiting or single marital status, unemployment, low income, retirement, disability, sickness-related absence from work, and a family history of suicide and/or psychiatric disorders were also significant risk factors for suicide. Moreover, these factors had different effects in male and female subjects. A psychiatric disorder was more likely to increase suicide risk in female than in male subjects. Being single was associated with higher suicide risk in male subjects, and having a young child with lower suicide risk in female subjects. Unemployment and low income had stronger effects on suicide in male subjects. Living in an urban area was associated with higher suicide risk in female subjects and a lower risk in male subjects. A family history of suicide raised suicide risk slightly more in female than in male subjects.Conclusions: Suicide risk is strongly associated with mental illness, unemployment, low income, marital status, and family history of suicide. The effect of most risk factors differs significantly by gender.