Despite the efforts of many, suicides and attempted suicides continue to increase in the United States.¹ Olfson et al² report that US suicide attempts increased significantly from 0.62% to 0.79% among the adult population aged 21 years and older, based on representative community samples recruited from 2004 to 2005 and 2012 to 2013. The increase in attempts was driven by people aged 21 to 34 years, especially involving those who had achieved a lower level of education and faced economic challenges, and who presented with depression, an antisocial personality, substance use disorders, or a history of violence. In both survey groups, nearly two-thirds had a diagnosis of borderline personality disorder, which was not surprising when focusing on respondents who had a history of attempting suicide during the preceding 3 years. While economic disadvantages were apparent, Olfson et al² also detected a significant increase among employed people, a finding that is consistent with reports that show increased suicide rates among the employed during times of economic instability.³

尽管许多人做出了努力，但在美国自杀和未遂自杀仍在继续增加。¹ Olfson等人²报告指出，根据2004年至2005年以及2012年至2013年收集的代表性社区样本，在21岁及以上的成年人口中，美国的自杀未遂率从0.62％显着增加到0.79％。年，特别是那些受过较低教育，面临经济挑战，并表现出抑郁，反社会人格，吸毒障碍或有暴力史的人。在两个调查组中，将近三分之二的人被诊断为边缘型人格障碍，当关注过去三年中曾尝试自杀的受访者时，这并不奇怪。尽管经济上的不利因素很明显，但Olfson等人²也发现就业人口中的自杀率显着增加，这一发现与报告显示经济不稳定时期就业者自杀率上升的报告一致。³