当前位置: X-MOL 学术J. Affect. Disord. › 论文详情
Our official English website, www.x-mol.net, welcomes your feedback! (Note: you will need to create a separate account there.)
Who didn't consult the doctor? Understanding sociodemographic factors in relation to health care uptake before suicide
Journal of Affective Disorders ( IF 6.6 ) Pub Date : 2021-03-13 , DOI: 10.1016/j.jad.2021.03.014
Elke Elzinga , Derek de Beurs , Aartjan Beekman , Guus Berkelmans , Renske Gilissen

Objective

This study aimed to establish differences between suicide decedents and a reference population across various health care settings.

Methods

This population-wide registration study combined death statistics, sociodemographic data and health care data from Statistics Netherlands. From 2010 to 2016, 12,015 suicide cases and a random reference group of 132,504 were included and assigned to one of the three health care settings; mental health (MH) care, primary care or no care. Logistic regression analyses were performed to determine differences in suicide risk factors across settings.

Results

In the 1–2 year period before suicide, 52% of the suicide decedents received MH care, 41% received GP care only and 7% received neither. Although sociodemographic factors showed significant differences across settings, the suicide risk profiles were not profoundly distinctive. A decreasing trend in suicide risk across health care settings became apparent for male gender, income level and being in a one-person or one-parent household, whereas for other factors (middle and older age, non-Western migration background, couples without children and people living in more sparsely populated areas), risk of suicide increased when health care setting became more specialized.

Limitations

Because of the data structure, 18 months of suicide decedents’ health care use were compared with two years health care use of the reference group, which likely led to an underestimation of the reported differences.

Conclusion

Although there are differences between suicide decedents and a reference group across health care settings, these are not sufficiently distinctive to advocate for a setting-specific approach to suicide prevention.



中文翻译:

谁没有咨询医生?了解自杀前与医疗保健摄取有关的社会人口统计学因素

客观的

这项研究旨在确定在各种医疗机构中自杀者与参考人群之间的差异。

方法

这项针对人口的登记研究结合了来自荷兰统计局的死亡统计数据,社会人口统计学数据和医疗保健数据。从2010年到2016年,纳入了12,015例自杀病例和132,504例随机对照人群,并将其分配给三种医疗保健环境之一;精神保健(MH)护理,初级护理或不护理。进行逻辑回归分析以确定不同环境下自杀风险因素的差异。

结果

在自杀前的1-2年中,自杀者中有52%接受了MH护理,41%的仅接受了GP护理,而7%则没有接受过MH护理。尽管社会人口统计学因素在不同背景下均表现出显着差异,但自杀风险概况并没有明显的区别。对于男性,收入水平以及在单人或单亲家庭中,医疗保健机构中自杀风险呈下降趋势,而对于其他因素(中老年人,非西方移民背景,没有子女的夫妇)以及生活在人口稀少地区的人们),当医疗机构变得更加专业时,自杀的风险就会增加。

局限性

由于数据结构的原因,将自杀后代的18个月的医疗保健使用与参考组的两年医疗保健使用进行了比较,这很可能导致低估了所报告的差异。

结论

尽管在整个医疗机构中自杀后裔与参考人群之间存在差异,但这些差异不足以提倡针对特定场所的自杀预防方法。

更新日期:2021-03-30
down
wechat
bug