Short & Long Term Suicide Risk Factors

短的

• 批准号: 6759601
• 负责人: MARK S. KAPLAN
• 金额: $ 7.1万
• 依托单位: PORTLAND STATE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2004
• 资助国家: 美国
• 起止时间: 2004-08-01 至 2006-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6759601
• 关键词: acute disease /disorder; behavioral /social science research tag; chronic disease /disorder; death; diagnosis design /evaluation; disease /disorder proneness /risk; functional ability; health care service utilization; health disparity; human data; human population study; human therapy evaluation; injury prevention; longevity; medical records; mental disorder diagnosis; mental disorder prevention; mental health epidemiology; outcomes research; psychotherapy; socioeconomics; suicide

DESCRIPTION (provided by applicant): Nearly 30,000 people complete suicide in the United States every year. Suicide is the 8th leading cause of death for males and the 19th for females. Much of our knowledge about short-term (12 months or less) risk factors for suicide derives from retrospective studies such as psychological autopsies or mortality follow-back projects. Prospective data on long-term (more than one year) suicide risk factors come chiefly from highly selected groups such as psychiatric hospital inpatients. There are few (if any) population-based prospective studies that provide information about risk factors for suicide in both short term (12 months) and long term (one or more years) time frames. Moreover, there are scant (if any) population-based data that allow for comparison of risk factors for suicide versus those for death by natural causes or mortality due to external factors such as accidents and homicide. Yet this information is important in the identification of target populations for interventions designed to reduce suicide. The proposed small grant project will use secondary analysis of prospective data to identify (a) "short term" risk factors for suicide within 12 months of baseline, (b) "long term" risk factors for suicide more than a year after baseline, (c) short term risk factors for death from natural causes and from external factors (such as accidents or homicides), and (d) long term risk factors for death from natural causes and from external factors. This prospective population-based study will make use of the National Health Interview Surveys, 1986-1994 (NHIS) that have recently been linked to the National Death Index, 1986-1997. The data set will be obtained from the Inter-university Consortium for Political and Social Research and the National Center for Health Statistics (NCHS). The NHIS is a yearly nationwide household interview (with annual sample sizes of about a hundred thousand) conducted by the NCHS that provides detailed information on demographics, socio-economic status, functional limitations, chronic conditions, the extent of disability, health care utilization, self- assessed health status, and other health-related topics. Supplemental interviews provide data on mental health, disability, and alcohol consumption. This project will focus on cohorts of respondents from 1986 through 1994 (of whom 1,995 completed suicide). Survival analysis will be used to estimate potential years of life gained from interventions designed to reduce short term and long-term suicide risk factors, respectively. The results of this epidemiologic study, will help us better understand proximal and distal suicide risk factors.

描述（由申请人提供）：每年在美国近30,000人自杀。自杀是男性的第八个主要原因，是女性的第19名。我们对自杀的短期（12个月或更少）风险因素的大部分了解源自回顾性研究，例如心理尸检或死亡率跟随后卫项目。长期（一年以上）自杀危险因素的预期数据主要来自精神病医院的住院医师等高度选择的群体。在短期（12个月）和长期（一年或多年）时间范围内，几乎没有（如果有）基于人群的前瞻性研究（如果有）提供有关自杀危险因素的信息。此外，有很少的基于人群的数据，可以比较自杀的危险因素与因自然原因或由于外部因素（例如事故和凶杀案）而导致死亡的危险因素。然而，对于旨在减少自杀的干预措施的目标人群的识别，此信息很重要。提出的小型赠款项目将使用预期数据的次要分析来识别（a）基准后12个月内自杀的“短期”风险因素，（b）基准后一年以上自杀​​的“长期”危险因素，（c）天然因素死亡的短期风险因素以及外部因素和外部因素（例如，（例如，犯罪或杀人）和（d）的长期因素以及自然危险因素以及自然危险因素和自然危险因素。这项基于人群的前瞻性研究将利用1986 - 1994年的国家健康访谈调查，这些调查最近与1986 - 1997年的国家死亡指数有关。数据集将从大学政治和社会研究联盟以及国家卫生统计中心（NCHS）获得。 NHIS是NCHS进行的年度全国家庭访谈（每年的样本量约为十万），可提供有关人口统计学，社会经济状况，功能限制，慢性病，残疾，医疗保健利用的程度，自我评估的健康状况以及其他与健康相关的主题的详细信息。补充访谈提供了有关心理健康，残疾和饮酒的数据。该项目将重点关注1986年至1994年的受访者（其中1,995人完成自杀）。生存分析将用于估计旨在分别减少短期和长期自杀危险因素的干预措施而获得的潜在生命年。这项流行病学研究的结果将有助于我们更好地了解近端和远端自杀危险因素。