网络游戏障碍与大学生自杀意念和行为的发生率。

IF 4.2 3区 医学 Q1 SUBSTANCE ABUSE
Journal of Addiction Medicine Pub Date : 2024-11-01 Epub Date: 2024-06-04 DOI:10.1097/ADM.0000000000001331
Ricardo Orozco, Guilherme Borges, José Miguel Caldas-de-Almeida, Raúl A Gutiérrez-García, Yesica Albor, Ana Lucía Jiménez Pérez, Karla Patricia Valdés-García, Patricia M Baez Mansur, María Anabell Covarrubias Díaz Couder, Praxedis Cristina Hernández Uribe, Corina Benjet
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引用次数: 0

摘要

研究目的DSM-5网络游戏障碍(IGD)与自杀相关意念和行为之间的纵向关联尚未得到探讨。因此,在本研究中,我们试图研究基线 IGD 与自杀意念、自杀计划和自杀未遂事件之间的关联:这是一项前瞻性队列研究,从 2018 年 9 月到 2022 年 6 月对 2586 名墨西哥大学生进行了随访。我们通过拟合以年为单位的人时比例危害 Cox 模型,估算了自杀意念、自杀计划和自杀未遂发生率的危害比模型:在基线时没有自杀意念的 2140 名学生中,3987.6 人年中发生了 467 起自杀事件;在有 IGD 的学生中,意念发生率为 179 例/1000 人年,而在没有 IGD 的学生中,意念发生率为 114 例/1000 人年。在 IGD 和非 IGD 学生中,自杀计划发生率分别为每 1000 人中 67 例和 39 例,自杀未遂发生率分别为每 1000 人中 15 例和 10 例。在控制了年龄、性别、情绪、焦虑和药物使用障碍等因素后,IGD 与自杀意念风险增加 83% 相关。虽然患有 IGD 的学生中计划自杀和企图自杀的发生率估计值较高,但结果在统计学上并不显著:这项研究有助于提高人们对 IGD 患者至少会增加自杀意念风险的认识。治疗 IGD 患者的临床医生可能会在一段时间内遇到自杀意念的主诉,甚至是自杀行为的报告,这些都不应被忽视。识别这些患者并治疗/转介他们潜在的自杀倾向应成为 IGD 治疗的一部分。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Internet Gaming Disorder and the Incidence of Suicide-related Ideation and Behaviors in College Students.

Objectives: The longitudinal associations between DSM-5 Internet Gaming Disorder (IGD) and suicide-related ideation and behaviors have not been explored. In this study, we therefore seek to examine the association between baseline IGD and incident suicide ideation, plans, and attempts.

Methods: This is a prospective cohort study of 2586 Mexican college students followed up from September 2018 to June 2022. We estimated hazards ratios modeling incidence of suicide ideation, plans, and attempts by fitting proportional hazards Cox models with person-time scaled in years.

Results: Among 2140 students without suicide ideation at baseline, there were 467 incident cases in 3987.6 person-years; ideation incidence rates were 179 cases per 1000 person-years among students with IGD and 114 cases per 1000 person-years among those without IGD. Incidence rates for suicide plans were 67 and 39 per 1000 among IGD and non-IGD students, and 15 and 10 per 1000, respectively for attempts. After controlling for age, sex, and mood, anxiety, and substance use disorders, IGD was associated with an 83% increased risk of suicide ideation. Although incidence rate estimates for plans and attempts were higher among students with IGD, results were not statistically significant.

Conclusions: This study helps to raise awareness of the increased risk of at least suicidal ideation in people experiencing IGD. Clinicians treating patients with IGD may encounter complaints of suicide ideation over time, and even reports of suicidal behavior that should not be disregarded. Identifying these patients and treating/referring them for underlying suicidality should form part of IGD treatment.

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来源期刊
Journal of Addiction Medicine
Journal of Addiction Medicine 医学-药物滥用
CiteScore
6.10
自引率
9.10%
发文量
260
审稿时长
>12 weeks
期刊介绍: The mission of Journal of Addiction Medicine, the official peer-reviewed journal of the American Society of Addiction Medicine, is to promote excellence in the practice of addiction medicine and in clinical research as well as to support Addiction Medicine as a mainstream medical sub-specialty. Under the guidance of an esteemed Editorial Board, peer-reviewed articles published in the Journal focus on developments in addiction medicine as well as on treatment innovations and ethical, economic, forensic, and social topics including: •addiction and substance use in pregnancy •adolescent addiction and at-risk use •the drug-exposed neonate •pharmacology •all psychoactive substances relevant to addiction, including alcohol, nicotine, caffeine, marijuana, opioids, stimulants and other prescription and illicit substances •diagnosis •neuroimaging techniques •treatment of special populations •treatment, early intervention and prevention of alcohol and drug use disorders •methodological issues in addiction research •pain and addiction, prescription drug use disorder •co-occurring addiction, medical and psychiatric disorders •pathological gambling disorder, sexual and other behavioral addictions •pathophysiology of addiction •behavioral and pharmacological treatments •issues in graduate medical education •recovery •health services delivery •ethical, legal and liability issues in addiction medicine practice •drug testing •self- and mutual-help.
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