精神分裂症与自杀未遂：来自加拿大代表性社区样本的研究结果。

IF 3.3 3区医学 Q1 HEALTH POLICY & SERVICES

Psychiatric services Pub Date : 2016-01-01 Epub Date: 2016-02-10 DOI:10.1155/2016/3165243

Esme Fuller-Thomson, Bailey Hollister

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引用次数: 0

摘要

本研究调查了在非住院加拿大人的代表性样本中，精神分裂症患者（n = 101）与非精神分裂症患者（n = 21,643 ）自杀未遂的相关因素。精神分裂症患者的终生自杀未遂率为 39.2%，而非患者的终生自杀未遂率为 2.8%。在对社会人口统计学、童年逆境、药物滥用/依赖、抑郁/焦虑和慢性疼痛等因素进行调整后，精神分裂症患者企图自杀的几率是普通人的 6 倍（OR = 6.47）。在精神分裂症患者中，自杀未遂与女性（OR = 4.59）、药物滥用/依赖（OR = 6.31）、抑郁（OR = 4.93）和童年身体虐待（OR = 5.75）有关。居住在社区的精神分裂症患者似乎是自杀未遂的高危人群。

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Schizophrenia and Suicide Attempts: Findings from a Representative Community-Based Canadian Sample.

This study examined factors associated with suicide attempts among those with schizophrenia (n = 101) versus those without (n = 21,643) in a representative sample of noninstitutionalized Canadians. The lifetime prevalence of suicide attempts among persons with schizophrenia was 39.2% versus 2.8% of nonafflicted individuals. After adjusting for sociodemographics, childhood adversities, substance abuse/dependence, depression/anxiety, and chronic pain, those with schizophrenia had 6 times the odds (OR = 6.47) of attempting suicide. Among persons with schizophrenia, suicide attempts were associated with female gender (OR = 4.59), substance abuse/dependence (OR = 6.31), depression (OR = 4.93), and childhood physical abuse (OR = 5.75). Community-dwelling persons with schizophrenia appear to be at high risk for suicide attempts.

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来源期刊

Psychiatric services 医学-公共卫生、环境卫生与职业卫生

CiteScore

5.80

自引率

7.90%

发文量

295

审稿时长

3-8 weeks

期刊介绍： Psychiatric Services, established in 1950, is published monthly by the American Psychiatric Association. The peer-reviewed journal features research reports on issues related to the delivery of mental health services, especially for people with serious mental illness in community-based treatment programs. Long known as an interdisciplinary journal, Psychiatric Services recognizes that provision of high-quality care involves collaboration among a variety of professionals, frequently working as a team. Authors of research reports published in the journal include psychiatrists, psychologists, pharmacists, nurses, social workers, drug and alcohol treatment counselors, economists, policy analysts, and professionals in related systems such as criminal justice and welfare systems. In the mental health field, the current focus on patient-centered, recovery-oriented care and on dissemination of evidence-based practices is transforming service delivery systems at all levels. Research published in Psychiatric Services contributes to this transformation.