Suicidality in the prospective Zurich study: prevalence, risk factors and gender

被引:35
作者
Angst, Jules [1 ]
Hengartner, Michael P. [1 ]
Rogers, Jonathan [2 ,3 ]
Schnyder, Ulrich [4 ]
Steinhausen, Hans-Christoph [5 ,6 ,7 ]
Ajdacic-Gross, Vladeta [1 ]
Roessler, Wulf [1 ,8 ,9 ]
机构
[1] Univ Zurich, Dept Psychiat Psychotherapy & Psychosomat, Hosp Psychiat, CH-8032 Zurich, Switzerland
[2] Univ Cambridge, Addenbrookes Hosp, Sch Clin Med, Cambridge CB2 2QQ, England
[3] Gonville & Caius Coll, Cambridge, England
[4] Univ Zurich Hosp, Dept Psychiat & Psychotherapy, CH-8091 Zurich, Switzerland
[5] Aalborg Univ Hosp, Res Unit Child & Adolescent Psychiat, Aalborg, Denmark
[6] Univ Basel, Inst Psychol, Basel, Switzerland
[7] Univ Zurich, Dept Child & Adolescent Psychiat, CH-8032 Zurich, Switzerland
[8] Coll Helveticum, Zurich, Switzerland
[9] Univ Sao Paulo, Inst Psychiat, Lab Neurosci LIM 27, Sao Paulo, Brazil
关键词
Suicide attempts; Suicidal ideation; Risk factors; Gender; Epidemiology; CHILDHOOD SEXUAL-ABUSE; BIPOLAR-DISORDER; SUBSTANCE USE; MALTREATMENT; BEHAVIORS; IMPACT; WOMEN; ADOLESCENCE; ASSOCIATION; IDEATION;
D O I
10.1007/s00406-014-0500-1
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Our prospective Zurich study (1978-2008) found that suicidal ideation had occurred in 40.5 % and suicide attempts in 6.6 % of the population by age 50. Important gender differences were found in both suicidality and its risk factors. Suicide attempts were earlier and more frequent among women than among men: 70 versus 44 % reported their first suicide attempt before 20. For women, the relative risk of suicide attempts was 1.6, but the relative risk of suicidal ideation was about equal (1.1 for women). The main risk factors for suicidal ideation in women were low social support (OR 4.0) and frequent punishment in childhood (OR 3.7), and in men, a depressive (OR 6.5) and an anxious personality (OR 4.6). The main risk factors for suicide attempts in women were a broken home (OR 10.2) and sexual abuse/violence (OR 7.9) in childhood; in men, no multivariate analyses of suicide attempt were conducted because of insufficient statistical power.
引用
收藏
页码:557 / 565
页数:9
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