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首页> 外文期刊>Psychiatry research >Acute suicidal ideation in middle-aged adults from Brazil. Results from the baseline data of the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil)
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Acute suicidal ideation in middle-aged adults from Brazil. Results from the baseline data of the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil)

机译:巴西中年成年人的急性自杀观念。巴西成人健康纵向研究(ELSA-巴西)基准数据的结果

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摘要

Suicidal ideation represents an important burden worldwide. However, little is known about it in low-/middle-income countries. We investigated this issue in a large cross-sectional of Brazilian civil servants (ELSA-Brasil, the Brazilian Health Longitudinal Study, n=15,105). Logistic univariate and multivariate analyses were performed to evaluate the strength of association (odds ratio, OR) between clinical and sociodemographic variables with acute life-weariness (tiredness of life) and suicidal thoughts. The presence of major depressive disorder (MDD), common mental disorders (CMDs), stressful life-events (SLEs) and poor self-perceived physical health was also collected. MDD and CMOs were strongly associated with suicidal ideation in univariate and multivariate analyses. For life-weariness thoughts, a modest, consistent association was found for female gender, being single, non-White ethnicity and poor education. SLEs and poor self-perceived physical health were also associated with suicidal ideation. Espiritism-Kardecism, but not other religions or Atheism/Agnosticism, was associated with lower rates of life-weariness and suicidal thoughts. To conclude, suicidal ideation does not differ in Brazil compared to developed countries, being primarily associated with psychiatric disorders and, to a lesser but significant extent, to social disadvantage, SLEs, poor self-perceived health and being single. (C) 2014 Elsevier Ireland Ltd. All rights reserved.
机译:自杀念头是全世界的重要负担。但是,在中低收入国家对此知之甚少。我们在大范围的巴西公务员中调查了这个问题(ELSA-Brasil,巴西卫生纵向研究,n = 15,105)。进行逻辑单因素和多因素分析,以评估临床和社会人口学变量与急性厌倦(生命疲倦)和自杀念头之间的关联强度(优势比,OR)。还收集了严重抑郁症(MDD),常见精神障碍(CMD),应激性生活事件(SLE)和较差的自我感知的身体健康的存在。在单变量和多变量分析中,MDD和CMO与自杀意念密切相关。对于厌倦生活的想法,发现女性,单身,非白人和受教育程度低的女性之间存在适度,一致的联想。 SLE和自我感觉良好的身体健康也与自杀观念有关。精神分裂症,而不是其他宗教或无神论/不可知论,与较低的厌倦率和自杀念头有关。总而言之,与发达国家相比,巴西的自杀观念没有差异,自杀观念主要与精神疾病有关,在较小但很重要的程度上与社会不利因素,SLE,自我感觉良好的健康和单身有关。 (C)2014 Elsevier Ireland Ltd.保留所有权利。

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