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Suicidal ideation, self-harm and attempted suicide: results from the British psychiatric morbidity survey 2000.

机译:自杀观念,自我伤害和未遂自杀:2000年英国精神病学发病率调查的结果。

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摘要

PURPOSE: To examine relationships between suicidal ideation, self-harm, and suicide attempts, including the timing of the phenomena. SUBJECTS AND METHODS: The British National Psychiatric Morbidity Survey (NPMS) 2000, a randomised cross-sectional survey of the British population (n=8,580), included detailed questions about suicidal phenomena. RESULTS: Suicidal phenomena were common in the survey population: a fifth had experienced tedium vitae, and nearly one in six had had death wishes or considered suicide. 4.4% of the study population had attempted suicide at some time. The relationships between individual elements of suicidality, though not absolute, were strong. The relationships tended to be hierarchical. The results suggested that suicidal thinking represents a strong indicator of vulnerability to suicidal acts, less so to self-harm. Although suicidal phenomena were more common in women, the relationship of the different elements were not affected by gender. DISCUSSION: Studies in non clinical populations allow full appreciation of the nature and burden of suicidality. The topic of suicide is sensitive, so there may have been under-reporting, although the level of missing data was around 0.1%. Nevertheless, the sample was large and closely representative of the whole British populace. CONCLUSIONS: Suicidality is common in the British population. The strong relationships between elements of suicidality are clinically important.
机译:目的:研究自杀观念,自我伤害和自杀企图之间的关系,包括现象发生的时间。研究对象和方法:《英国国家精神病学发病率调查》(NPMS)2000是对英国人口(n = 8,580)进行的一项随机横断面调查,其中包括有关自杀现象的详细问题。结果:自杀现象在调查人群中很常见:五分之一的人经历过乏味的生活,近六分之一的人有过死亡愿望或被认为自杀。 4.4%的研究人群曾尝试过自杀。自杀性的各个要素之间的关系虽然不是绝对的,但也很牢固。这些关系往往是分层的。结果表明,自杀思维是自杀行为脆弱性的有力指标,而对自身伤害的影响较小。尽管自杀现象在女性中更为普遍,但不同因素之间的关系并不受性别的影响。讨论:在非临床人群中进行的研究可以充分理解自杀的性质和负担。自杀这个话题很敏感,因此尽管漏失数据的水平约为0.1%,但报告可能漏报了。尽管如此,样本还是很大的,并且代表了整个英国民众。结论:自杀倾向在英国人口中很普遍。自杀性因素之间的密切关系在临床上很重要。

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