自杀意念与身体健康状况、精神健康状况和多病症的关系以及情感社会支持的调节作用:日本的一项横断面研究

IF 3 Q1 PRIMARY HEALTH CARE
Fumiya Tanji, Atsushi Iwasawa
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引用次数: 0

摘要

导言:目前尚不清楚仅有身体健康状况、仅有精神健康状况和同时有两种健康状况(多病症)的人的自杀风险是否不同,也不清楚情感社会支持如何调节这些关联。本研究旨在探讨自杀意念与仅有躯体健康状况、仅有精神健康状况和多病状况之间的关联差异,以及情感社会支持在这些关联中的调节作用:方法:2023 年 8 月至 9 月期间,在日本的一个农村城镇进行了一次横断面调查,以收集数据。暴露变量为健康状况,分为 4 组:无疾病、仅身体健康状况、仅精神健康状况和多病。结果变量为自杀意念。收集到的数据通过多变量逻辑回归分析和分层分析进行了分析:结果:研究发现,自杀意念与精神健康状况和多病情况呈显著正相关。在缺乏情感社会支持的情况下,这些关系保持不变。然而,在有情感社会支持的情况下,仅有精神健康状况组的几率会降低,而多病症组的几率仍明显较高:结论:自杀意念与仅有精神健康状况和多病状况呈正相关,但情感社会支持仅能改变自杀意念与仅有精神健康状况之间的关联。这些结果表明,根据个人的健康状况确定所需的社会支持类型对于预防自杀可能非常重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Association of Suicidal Ideation With Physical Health Conditions, Mental Health Conditions, and Multimorbidity and the Modifying Role of Emotional Social Support: A Cross-Sectional Study in Japan.

Introduction: It is unclear whether the risk of suicide differs among individuals with only physical health condition, those with only mental health conditions, and those with both types of conditions (multimorbidity) and how emotional social support modifies these associations. This study aimed to examine differences in the association of suicidal ideation with the presence of only physical health conditions, only mental health conditions, and multimorbidity and the modifying role of emotional social support in these associations.

Methods: A cross-sectional survey was conducted between August and September 2023 in a Japanese rural town to collect data. The exposure variable was the health condition, and it was classified into 4 groups: disease-free, only physical health conditions, only mental health conditions, and multimorbidity. The outcome variable was suicidal ideation. The data collected were analyzed using multivariate logistic regression analysis and stratified analysis.

Results: Suicidal ideation was found to have a significant positive association with the presence of only mental health conditions and multimorbidity. These associations remained unchanged in the absence of emotional social support. However, the odds ratio for the only mental health conditions group decreased in the presence of emotional social support, while the odds ratio for the multimorbidity group remained significantly higher.

Conclusions: Suicidal ideation is positively associated with the presence of only mental health conditions and multimorbidity, but emotional social support modifies only the association between suicidal ideation and the presence of only mental health conditions. These results suggest that it may be important to identify the type of social support one needs based on one's health condition to prevent suicide.

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来源期刊
CiteScore
4.80
自引率
2.80%
发文量
183
审稿时长
15 weeks
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