英格兰和威尔士的种族与自杀:一项全国关联队列研究。

IF 30.8 1区 医学 Q1 PSYCHIATRY
Duleeka Knipe, Paul Moran, Laura D Howe, Saffron Karlsen, Nav Kapur, Lauren Revie, Ann John
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引用次数: 0

摘要

背景:由于死亡证明上没有种族记录,因此人们对英格兰和威尔士自杀的种族差异了解甚少。利用链接数据,我们研究了英格兰和威尔士按种族、移民和后裔身份分列的自杀率的性别差异:利用国家统计局 2012-19 年死亡率数据与公共卫生研究数据库中 2011 年人口普查数据的链接,我们计算了英格兰和威尔士 18 个自我认定的种族群体中每个群体按性别划分的年龄标准化自杀率。我们按年龄、性别和自杀方式列出了各族裔群体的自杀率。我们使用泊松回归模型估算了每个少数族裔群体与多数人口相比的年龄调整和性别调整发病率比(IRR)。我们让有生活经验的人参与了研究:在研究期间,共有 31 644 人自杀身亡,其中 3602 人(11%)来自少数民族背景,平均死亡年龄为 43-3 岁(SD 17-0,范围为 13-96)。几乎所有少数族裔群体的自杀率都低于大多数英国白人,除了那些被认定为混血儿、吉普赛人或爱尔兰游民的人。与大多数英国白人相比,混血白人和加勒比海女性的自杀IRR为1-79(95% CI 1-45-2-21);与大多数英国白人相比,混血白人和加勒比海女性的自杀IRR为2-26(1-42-3-58)。来自这两个群体的男性和被认定为白爱尔兰人的男性的比率与大多数英国白人相似。与非移民人口相比,无论属于哪个种族,移民的自杀率都较低,但在后代人口中,来自混合种族背景的人的自杀风险高于大多数英国白人:英格兰和威尔士的自杀死亡率存在种族差异,但原因尚不清楚。以前被忽视的少数族裔群体的自杀率较高,值得进一步关注:资金来源:惠康基金会。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Ethnicity and suicide in England and Wales: a national linked cohort study.

Background: Understanding of ethnic disparities in suicide in England and Wales is poor as ethnicity is not recorded on death certificates. Using linked data, we examined variations, by sex, in suicide rates in England and Wales by ethnicity and migrant and descendant status.

Methods: Using the Office for National Statistics 2012-19 mortality data linked to the 2011 census from the Public Health Research Database, we calculated the age-standardised suicide rates by sex for each of the 18 self-identified ethnicity groups in England and Wales. We present rates by age, sex, and methods used for suicide by ethnic group. We estimated age-adjusted and sex-adjusted incidence rate ratios (IRRs) using Poisson regression models for each minority ethnic group compared with the majority population. We involved people with lived experience in the research.

Findings: Overall, 31 644 suicide deaths occurred over the study period, including 3602 (11%) in people from minority ethnic backgrounds, with a mean age of death of 43·3 years (SD 17·0, range 13-96). Almost all minority ethnic groups had a lower rate of suicide than the White British majority, apart from individuals who identified as being from a Mixed heritage background or White Gypsy or Irish Travellers. In females who identified as Mixed White and Caribbean, the suicide IRR was 1·79 (95% CI 1·45-2·21) compared with the White British majority; in those who identified as White Gypsy or Irish Travellers, the IRR was 2·26 (1·42-3·58). Rates in males identifying as from these two groups and those identifying as White Irish were similar to the White British majority. Compared with the non-migrant population, migrants had a lower rate of suicide regardless of ethnicity, but in the descendant population, people from a Mixed ethnicity background had a higher risk of suicide than the White British majority.

Interpretation: There are ethnic disparities in suicide mortality in England and Wales, but the reasons for this are unclear. The higher rate in previously overlooked minority ethnic groups warrants further attention.

Funding: Wellcome Trust.

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来源期刊
Lancet Psychiatry
Lancet Psychiatry PSYCHIATRY-
CiteScore
58.30
自引率
0.90%
发文量
0
期刊介绍: The Lancet Psychiatry is a globally renowned and trusted resource for groundbreaking research in the field of psychiatry. We specialize in publishing original studies that contribute to transforming and shedding light on important aspects of psychiatric practice. Our comprehensive coverage extends to diverse topics including psychopharmacology, psychotherapy, and psychosocial approaches that address psychiatric disorders throughout the lifespan. We aim to channel innovative treatments and examine the biological research that forms the foundation of such advancements. Our journal also explores novel service delivery methods and promotes fresh perspectives on mental illness, emphasizing the significant contributions of social psychiatry.
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