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首页> 外文期刊>AIDS care. >Suicidal ideation and suicide attempts among human immunodeficiency virus-infected adults: differences in risk factors and their implications
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Suicidal ideation and suicide attempts among human immunodeficiency virus-infected adults: differences in risk factors and their implications

机译：感染人类免疫缺陷病毒的成年人的自杀意念和自杀企图：危险因素的差异及其影响

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Many studies have investigated risk factors for suicidal ideation and suicide attempt; however, most have failed to show differences in risk factors between suicidal ideation and suicide attempt among the human immunodeficiency virus (HIV)-infected population. This study was designed to identify differences in risk factors between suicidal ideation and suicide attempts among HIV-infected adults in Seoul. A face-to-face survey of 457 HIV-infected adults was conducted by the Seoul Metropolitan Government in 2013. Multivariate logistic regression analysis was used to identify factors associated with suicidal ideation and suicide attempt. Among 422 participants, 44% had suicidal ideation, and 11% had suicide attempts. The independent risk factors for suicidal ideation were young and middle age, living with someone, history of AIDS-defining opportunistic disease, history of treatment for depression, lower social support, and psychological status. Beneficiaries of National Medical Aid, economic barriers to treatment, history of treatment for depression, and lower psychological status were independently associated with suicide attempts. Patients with HIV in Korea were treated without cost in some centers. Thus, experiencing an economic barrier to treatment might be due in part to ignorance of HIV care policies. Our findings indicate that suicide attempts are associated with socioeconomic factors and information inequality regarding medical care. In conclusion, suicidal ideation closely associated with the psychosocial factors, whereas suicide attempt demonstrates a stronger association with socioeconomic factors. Suicide prevention measures should be implemented to provide information to help HIV-infected patients.
机译：许多研究调查了自杀意念和自杀未遂的危险因素。但是，大多数人未能显示出在感染人类免疫缺陷病毒（HIV）的人群中自杀意念和自杀企图之间的危险因素存在差异。这项研究旨在确定汉城受HIV感染的成年人中自杀意念和自杀未遂之间危险因素的差异。首尔市政府于2013年进行了面对面调查，调查了457名受HIV感染的成年人。多因素Logistic回归分析用于确定与自杀意念和自杀企图相关的因素。在422名参与者中，有44％的人有自杀观念，而11％的人有自杀企图。自杀意念的独立危险因素是中青年，与某人同住，定义艾滋病的机会病史，抑郁症治疗史，较低的社会支持和心理状况。国家医疗救助的受益人，治疗的经济障碍，抑郁症的治疗史以及较低的心理状况均与自杀未遂相关。韩国的一些艾滋病毒患者在某些中心免费接受治疗。因此，在治疗方面遇到经济障碍可能部分是由于对HIV护理政策的无知。我们的发现表明，自杀未遂与社会经济因素以及有关医疗保健的信息不平等有关。总之，自杀意念与社会心理因素密切相关，而自杀企图表明与社会经济因素之间的联系更为紧密。应采取预防自杀措施，以提供信息来帮助感染HIV的患者。

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