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A Systematic Review of Social Factors and Suicidal Behavior in Older Adulthood

机译：老年人社会因素和自杀行为的系统评价

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Suicide in later life is a global public health problem. The aim of this review was to conduct a systematic analysis of studies with comparison groups that examined the associations between social factors and suicidal behavior (including ideation, non-fatal suicidal behavior, or deaths) among individuals aged 65 and older. Our search identified only 16 articles (across 14 independent samples) that met inclusion criteria. The limited number of studies points to the need for further research. Included studies were conducted in Canada (n = 2), Germany (n = 1), Hong Kong (n = 1), Japan (n = 1), Singapore (n = 1), Sweden (n = 2), Taiwan (n = 1), the U.K. (n = 2), and the U.S. (n = 3). The majority of the social factors examined in this review can be conceptualized as indices of positive social connectedness—the degree of positive involvement with family, friends, and social groups. Findings indicated that at least in industrialized countries, limited social connectedness is associated with suicidal ideation, non-fatal suicidal behavior, and suicide in later life. Primary prevention programs designed to enhance social connections as well as a sense of community could potentially decrease suicide risk, especially among men.
机译：晚年的自杀是全球性的公共卫生问题。这篇综述的目的是对比较组进行研究的系统分析，研究组调查了65岁及65岁以上个体中社会因素与自杀行为（包括观念，非致命自杀行为或死亡）之间的关联。我们的搜索仅识别出符合纳入标准的16篇文章（跨越14个独立样本）。有限的研究表明需要进一步的研究。包括在加拿大（n = 2），德国（n = 1），香港（n = 1），日本（n = 1），新加坡（n = 1），瑞典（n = 2），台湾（ n = 1），英国（n = 2）和美国（n = 3）。可以将本评论中考察的大多数社会因素概念化为积极的社会联系的指数，即与家人，朋友和社会团体的积极参与程度。研究结果表明，至少在工业化国家中，有限的社会联系与自杀观念，非致命的自杀行为和晚年的自杀有关。旨在增强社会联系和社区意识的初级预防计划可能会降低自杀风险，尤其是在男性中。

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