Всемирная психиатрия. №2 2017

Риск суицида, преднамеренного самоповреждения и психиатрических расстройств после потери близкого родственника: общенациональное когортное исследование

Mai-Britt Guldin1, Maiken Ina Siegismund Kjaersgaard2, Morten Fenger-Grøn1, Erik Thorlund Parner2, Jiong Li2, Anders Prior1,2, Mogens Vestergaard1,2

1Research Unit for General Practice, Aarhus University, Aarhus, Denmark; 2Department of Public Health, Aarhus University, Aarhus, Denmark

Стр. 190-198

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Опубликовано: 7 июня 2017

Аннотация / Abstract

Перевод: Красавин Г.А. (Москва) Редактура: к.м.н. Федотов И.А. (Рязань) Резюме Потеря близкого родственника — частое событие, которое еще и ассоциировано с повышенным риском тяжелых психических состояний. До сегодняшнего момента ни одно из крупных исследований не выяснило влияние родства между погибшими и скорбящими с учетом пола и возраста. Мы провели общенациональное датское когортное исследование с четырьмя подкогортами, используя информацию из регистра с 1995 по 2013 года, в которое были включены все люди возрастом ≥18 лет, потерявшие ребенка, супруга, родного брата или сестру или родителя. Мы выявили 1,445,378 скорбящих, к каждому из которых были подобраны по полу, возрасту и семейному статусу пять нескорбящих респондентов. Чтобы оценить абсолютные различия по суициду, преднамеренному самоповреждению и психиатрическим болезням, было рассчитано совокупное отношение заболеваемости. Чтобы рассчитать скорректированные от потенциальных помех отношения рисков, была использована регрессия пропорциональности рисков Кокса. Результаты показали, что риск суицида, преднамеренного самоповреждения и психиатрического заболевания был повышенным в когортах скорбящих в течение как минимум 10 лет после утраты, особенно в течение первого года. В этот год разность рисков достигала 18.9 случаев среди 1,000 человек после потери ребенка (95% CI: 17.6-20.1) и 16.0 случаев среди 1,000 человек после потери супруга (95% CI: 15.4-16.6). Отношения рисков в основном были выше после потери ребенка, среди более молодых лиц и после внезапной утра в следствие суицида, убийства или несчастного случая. Каждый третий человек с ранее выставленным психиатрическим диагнозом переживает суицид, преднамеренное самоповреждение или психиатрическое заболевание в течение первого года после утраты. В заключении, это исследование показывает, что риск суицида, преднамеренного самоповреждения и психиатрических заболевания выше после потери близкого родственника, особенно в восприимчивых подгр...

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Вход / Регистрация

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Риск суицида, преднамеренного самоповреждения и психиатрических расстройств после потери близкого родственника: общенациональное когортное исследование

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Риск суицида, преднамеренного самоповреждения и психиатрических расстройств после потери близкого родственника: общенациональное когортное исследование

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