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首页> 外文期刊>Journal of neurology >Suicidal ideation and attempts in patients with stroke: a population-based study
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Suicidal ideation and attempts in patients with stroke: a population-based study

机译：中风患者的自杀意念和尝试：一项基于人群的研究

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Stroke is known to be associated with an increase in the risk for suicide. However, there are very few population-based studies investigating the risk of suicidal ideation and attempts in patients with stroke. The purpose of this study was to compare the risk of suicidal ideation and attempts between patients with stroke and population without stroke using nationwide survey data. Individual-level data were obtained from 228,735 participants (4560 with stroke and 224,175 without stroke) of the 2013 Korean Community Health Survey. Demographic characteristics, socioeconomic status, physical health status, and mental health status were compared between patients with stroke and population without stroke. Multivariable logistic regression was performed to investigate the independent effects of the stroke on suicidal ideation and attempts. Stroke patients had more depressive mood (12.6 %) than population without stroke (5.7 %, p < 0.001). Stroke patients experienced more suicidal ideation (24.4 %) and attempts (1.3 %) than population without stroke (9.8 and 0.4 %, respectively; both p < 0.001). Stroke was found to increase the risk for suicidal ideation (OR 1.65, 95 % CI 1.52-1.79) and suicidal attempts (OR 1.64, 95 % CI 1.21-2.22), adjusting for demographics, socioeconomic factors, and physical health and mental health factors. We found that stroke increased the risk for suicidal ideation and attempts, independent of other factors that are known to be associated with suicidality, suggesting that stroke per se may be an independent risk factor for suicidality.
机译：已知中风与自杀风险增加有关。但是，很少有基于人群的研究来调查中风患者自杀意念和尝试自杀的风险。这项研究的目的是使用全国范围的调查数据来比较中风患者和无中风人群之间自杀意念和尝试自杀的风险。个人数据来自2013年韩国社区健康调查的228,735名参与者（4560名中风和224,175名中风）。比较中风患者和非中风人群的人口统计学特征，社会经济状况，身体健康状况和心理健康状况。进行多变量逻辑回归分析以研究中风对自杀意念和尝试的独立影响。中风患者比无中风人群的抑郁情绪高（12.6％）（5.7％，p <0.001）。中风患者的自杀意念率（24.4％）和未遂尝试率（1.3％）高于无中风人群（分别为9.8％和0.4％;两者均p <0.001）。发现中风会增加自杀意念（OR 1.65，95％CI 1.52-1.79）和企图自杀（OR 1.64，95％CI 1.21-2.22）的风险，并根据人口统计学，社会经济因素以及身体健康和心理健康因素进行调整。我们发现中风增加了自杀意念和尝试的风险，而与已知与自杀性相关的其他因素无关，这表明中风本身可能是自杀性的独立危险因素。

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