关键词: Muslim countries case‐control study psychological autopsy risk factors suicide

来  源:   DOI:10.1002/hsr2.414   PDF(Pubmed)

Abstract:
BACKGROUND: Suicide and risk factors have been poorly studied in the Muslim-majority countries that hinder the formulation of prevention strategies and affect suicide prevention eventually.
OBJECTIVE: We aimed at identifying and analyzing the psychological autopsy studies assessing the risk factors for suicide conducted in Muslim-majority countries.
METHODS: We did a search to trace all the available psychological autopsy studies in the Muslim countries with the search term \"psychological autopsy study in Muslim countries.\" We also checked the available bibliographies to identify the psychological autopsy studies in the Muslim countries so that all the possible studies could be included.
RESULTS: Out of the Muslim countries, only eight psychological autopsy studies were identified in five countries (Bangladesh [1], Indonesia [1], Iran [1], Pakistan [2], and Turkey [3]). Six studies adopted a case-control study design, and all were carried out in urban settings. The prevalence of psychiatric disorders among case-control studies varied from 52.8% in Turkey to 96% in Pakistan. Psychiatric illness, self-harm, and stressful life events were the commonly replicated risk factors for suicide across studies.
CONCLUSIONS: Psychological autopsy studies have been conducted only in five Muslim countries revealing that the risk factor for suicide is certainly under-researched in the incumbent countries. This review identified a similar list of risk factors for suicide, namely, psychiatric disorder, past non-fatal attempts, and adverse life events compared to the Western countries even though the rate varies.
摘要:
背景:在穆斯林占多数的国家中,自杀和危险因素的研究很少,这阻碍了预防策略的制定并最终影响了自杀预防。
目的:我们旨在确定和分析在穆斯林占多数的国家进行的评估自杀危险因素的心理尸检研究。
方法:我们搜索了穆斯林国家的所有可用的心理尸检研究,搜索词为“穆斯林国家的心理尸检研究”。“我们还检查了可用的参考书目,以确定穆斯林国家的心理尸检研究,以便所有可能的研究都可以包括在内。
结果:在穆斯林国家中,在五个国家仅确定了8项心理尸检研究(孟加拉国[1],印度尼西亚[1],伊朗[1],巴基斯坦[2],和土耳其[3])。六项研究采用了病例对照研究设计,所有这些都是在城市环境中进行的。病例对照研究中精神疾病的患病率从土耳其的52.8%到巴基斯坦的96%不等。精神病,自我伤害,和紧张的生活事件是所有研究中常见的重复自杀危险因素。
结论:仅在五个穆斯林国家进行了心理尸检研究,表明在现任国家中,自杀的危险因素肯定研究不足。这篇综述确定了类似的自杀风险因素列表,即,精神病,过去的非致命尝试,与西方国家相比,不良生活事件也有所不同。
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