PDF(Pubmed)
Abstract：
Reducing suicide risk in middle-aged males (40-54 years) is a national priority. People have often presented to their GP within 3 months before suicide thus highlighting an opportunity for early intervention.
To describe the sociodemographic characteristics and identify antecedents in middle-aged males who recently consulted a GP before dying by suicide.
This study was a descriptive examination of suicide in a national consecutive sample of middle-aged males in 2017 in England, Scotland, and Wales.
General population mortality data were obtained from the Office for National Statistics and National Records of Scotland. Information was collected about antecedents considered relevant to suicide from data sources. Logistic regression examined associations with final recent GP consultation. Males with lived experience were consulted during the study.
In 2017, a quarter (n = 1516) of all suicide deaths were in middle-aged males. Data were attained on 242 males: 43% had their last GP consultation within 3 months of suicide; and a third of these males were unemployed and nearly half were living alone. Males who saw a GP recently before suicide were more likely to have had recent self-harm and work-related problems than males who had not. Having a current major physical illness, recent self-harm, presenting with a mental health problem, and recent work-related issues were associated with having a last GP consultation close to suicide.
Clinical factors were identified that GPs should be alert to when assessing middle-aged males. Personalised holistic management may have a role in preventing suicide in these individuals.
To describe the sociodemographic characteristics and identify antecedents in middle-aged males who recently consulted a GP before dying by suicide.
This study was a descriptive examination of suicide in a national consecutive sample of middle-aged males in 2017 in England, Scotland, and Wales.
General population mortality data were obtained from the Office for National Statistics and National Records of Scotland. Information was collected about antecedents considered relevant to suicide from data sources. Logistic regression examined associations with final recent GP consultation. Males with lived experience were consulted during the study.
In 2017, a quarter (n = 1516) of all suicide deaths were in middle-aged males. Data were attained on 242 males: 43% had their last GP consultation within 3 months of suicide; and a third of these males were unemployed and nearly half were living alone. Males who saw a GP recently before suicide were more likely to have had recent self-harm and work-related problems than males who had not. Having a current major physical illness, recent self-harm, presenting with a mental health problem, and recent work-related issues were associated with having a last GP consultation close to suicide.
Clinical factors were identified that GPs should be alert to when assessing middle-aged males. Personalised holistic management may have a role in preventing suicide in these individuals.
摘要：
背景：降低中年男性（40-54岁）的自杀风险是国家的优先事项。人们经常在自杀前3个月内向他们的全科医生介绍，从而突出了早期干预的机会。
目的：描述最近在自杀前咨询过全科医生的中年男性的社会人口统计学特征并确定其前身。
方法：这项研究是对英格兰2017年全国连续中年男性样本中自杀的描述性检查。苏格兰,威尔士。
方法：一般人群死亡率数据来自苏格兰国家统计局和国家记录办公室。从数据源中收集了有关被认为与自杀有关的先例的信息。Logistic回归检查了与最近的GP咨询的关联。在研究期间咨询了有生活经验的男性。
结果：2017年，所有自杀死亡中有四分之一（n=1516）是中年男性。242名男性获得了数据：43％的人在自杀后3个月内进行了最后一次全科医生咨询；这些男性中有三分之一失业，近一半独自生活。最近在自杀前看过全科医生的男性比没有看过的男性更有可能最近有自残和与工作有关的问题。目前患有严重的身体疾病，最近的自我伤害，提出心理健康问题，最近与工作相关的问题与最近一次接近自杀的全科医生会诊有关.
结论：确定了全科医生在评估中年男性时应警惕的临床因素。个性化的整体管理可能在预防这些人的自杀中起作用。
目的：描述最近在自杀前咨询过全科医生的中年男性的社会人口统计学特征并确定其前身。
方法：这项研究是对英格兰2017年全国连续中年男性样本中自杀的描述性检查。苏格兰,威尔士。
方法：一般人群死亡率数据来自苏格兰国家统计局和国家记录办公室。从数据源中收集了有关被认为与自杀有关的先例的信息。Logistic回归检查了与最近的GP咨询的关联。在研究期间咨询了有生活经验的男性。
结果：2017年，所有自杀死亡中有四分之一（n=1516）是中年男性。242名男性获得了数据：43％的人在自杀后3个月内进行了最后一次全科医生咨询；这些男性中有三分之一失业，近一半独自生活。最近在自杀前看过全科医生的男性比没有看过的男性更有可能最近有自残和与工作有关的问题。目前患有严重的身体疾病，最近的自我伤害，提出心理健康问题，最近与工作相关的问题与最近一次接近自杀的全科医生会诊有关.
结论：确定了全科医生在评估中年男性时应警惕的临床因素。个性化的整体管理可能在预防这些人的自杀中起作用。
