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首页> 美国卫生研究院文献>International Journal of Environmental Research and Public Health >Protective Factors in the Inuit Population of Nunavut: A Comparative Study of People Who Died by Suicide People Who Attempted Suicide and People Who Never Attempted Suicide
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Protective Factors in the Inuit Population of Nunavut: A Comparative Study of People Who Died by Suicide People Who Attempted Suicide and People Who Never Attempted Suicide

机译：努纳武特族因纽特人中的保护因素：自杀死亡者未自杀者和未曾自杀者的比较研究

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Epidemiological data shows an alarming prevalence of suicide in Aboriginal populations around the world. In Canada, the highest rates are found in Inuit communities. In this article, we present the findings of a secondary analysis conducted with data previously collected as part of a larger study of psychological autopsies conducted in Nunavut, Canada. The objective of this secondary analysis was to identify protective factors in the Inuit population of Nunavut by comparing people who died by suicide, people from the general population who attempted suicide, and people from the general population who never attempted suicide. This case-control study included 90 participants, with 30 participants in each group who were paired by birth date, sex, and community. Content analysis was first conducted on the clinical vignettes from the initial study in order to codify the presence of protective variables. Then, inferential analyses were conducted to highlight differences between each group in regards to protection. Findings demonstrated that (a) people with no suicide attempt have more protective variables throughout their lifespan than people who died by suicide and those with suicide attempts within the environmental, social, and individual dimensions; (b) people with suicide attempts significantly differ from the two other groups in regards to the use of services; and (c) protective factors that stem from the environmental dimension show the greatest difference between the three groups, being significantly more present in the group with no suicide attempt. Considering these findings, interventions could focus on enhancing environmental stability in Inuit communities as a suicide prevention strategy.
机译：流行病学数据显示，在世界各地的土著居民中，自杀率令人震惊。在加拿大，因纽特人社区的比率最高。在本文中，我们介绍了根据先前收集的数据进行的二次分析的结果，这些数据先前是在加拿大努纳武特进行的一项较大的心理尸检研究的一部分。该次要分析的目的是通过比较因自杀死亡的人，企图自杀的普通人群和从未企图自杀的普通人群来确定努纳武特因纽特人的保护因素。该病例对照研究包括90名参与者，每组30名参与者按出生日期，性别和社区配对。内容分析是从最初的研究开始就对临床渐晕进行的，目的是为了编码保护性变量的存在。然后，进行推论分析以突出各组之间在保护方面的差异。研究结果表明：（a）在环境，社会和个人层面上，未因自杀而死亡的人比因自杀而死亡的人和因自杀而死亡的人具有更多的保护性变量； （b）自杀未遂者在使用服务方面与其他两个群体大不相同； （c）来自环境方面的保护因素在三组之间显示出最大的差异，在没有自杀企图的组中存在的比例明显更高。考虑到这些发现，干预措施应着重于提高因纽特人社区的环境稳定性，以此作为预防自杀的策略。

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