气象条件的变化是自杀未遂的近期风险因素

IF 3 3区 地球科学 Q2 BIOPHYSICS
K. G. Saulnier, C. L. Bagge
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引用次数: 0

摘要

目的:评估急性气象变化(即最高温度、湿度、风速、大气压力、云层覆盖率、能见度、降水量)作为近端(即在自杀未遂前几小时内)情景风险因素的影响。参与者是密西西比州唯一一家一级创伤医院的 578 名在自杀未遂后 24 小时内住院的成年患者。参与者完成了半结构化访谈,以确定家庭住址和自杀未遂的确切时间。采用人内病例交叉设计,每位患者作为自己的对照。每个患者自杀未遂前 6 小时(病例时间段)和前一天相应时间段(对照时间段)的气象变量均已生成。条件逻辑回归分析用于研究自杀未遂的预测因素,并将生理性别和季节作为潜在的调节因素进行评估。降水的出现与自杀未遂几率的降低有关。风速与男性自杀未遂几率呈微弱正相关,能见度与女性自杀未遂几率呈正相关。春季的最高气温与自杀未遂事件呈正相关。风速、能见度、最高气温和降水(无降水)可能是自杀未遂的情景风险因素。未来的研究应评估更多的近期情景风险因素,并确定如何利用这些信息来改进自杀风险管理工作,最终减轻自杀负担。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Changes in meteorological conditions as near-term risk factors for suicide attempts

Changes in meteorological conditions as near-term risk factors for suicide attempts

Changes in meteorological conditions as near-term risk factors for suicide attempts

To evaluate the impact of acute meteorological changes (i.e., maximum temperature, humidity, wind speed, atmospheric pressure, cloud coverage, visibility, precipitation) as situational risk factors proximal (i.e., present in the hours directly preceding) to suicide attempts. Participants were 578 adult patients who were hospitalized within 24 h of a suicide attempt at the only Level 1 trauma hospital in the state of Mississippi. Participants completed a semi-structured interview to determine home address and exact timing of their suicide attempt. A within-person, case-crossover design was used with each patient serving as their own control. Meteorological variables were generated for the 6-hours preceding each patient’s suicide attempt (case period) and corresponding hours the day prior (control period). Conditional logistic regression analyses were used to examine predictors of suicide attempts, and biological sex and season were evaluated as potential moderators. The presence of precipitation was associated with reduced odds of suicide attempts. Wind speed was marginally positively associated with suicide attempts among males, and visibility was positively associated with suicide attempts among females. Maximum temperature was positively associated with suicide attempts in the spring. Wind speed, visibility, maximum temperature, and precipitation (absence of) may represent situational risk factors for suicide attempts. Future studies should evaluate additional near-term situational risk factors and determine how to leverage this information to improve suicide risk management efforts to ultimately ameliorate the burden of suicide.

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来源期刊
CiteScore
6.40
自引率
9.40%
发文量
183
审稿时长
1 months
期刊介绍: The Journal publishes original research papers, review articles and short communications on studies examining the interactions between living organisms and factors of the natural and artificial atmospheric environment. Living organisms extend from single cell organisms, to plants and animals, including humans. The atmospheric environment includes climate and weather, electromagnetic radiation, and chemical and biological pollutants. The journal embraces basic and applied research and practical aspects such as living conditions, agriculture, forestry, and health. The journal is published for the International Society of Biometeorology, and most membership categories include a subscription to the Journal.
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