背景:自杀意念(SI),也被称为自杀念头,指的是冲动,欲望,和与死亡有关的痴迷。自杀意念的患病率为14%。目前的研究假设,确定SI的真正预测因素将有助于更好地了解自杀风险。
方法:在这项基于人群的横断面研究中,通过多阶段抽样方法从德黑兰的22个地区选择了17,644名15至90岁的居民。使用假设的因果模型,确定了各种变量影响SI成分的途径。此外,使用交互作用多元回归分析检验了弹性补偿和风险保护模型对SI预测的适用性.
结果:有13.44%的研究人群经历了SI。SI在15至24岁之间的个体中更为普遍。使用协变量分析时,男女之间没有差异。焦虑和身体活动(中度)的显着预测表明支持男性和女性的代偿模型,而这些人的显著预测表明支持女性的风险保护模型。
结论:PA既可以减轻焦虑对自杀念头的不利影响,又可能降低SI的可能性。重要的是开发和评估PA增强治疗,尤其是对于正在经历焦虑的女人。
BACKGROUND: Suicidal ideations (SI), also known as suicidal thoughts, refer to impulses, desires, and obsessions related to death. Prevalence of suicidal ideation was 14 percent. The current study assumed that identifying the true predictors of SI would allow for a greater understanding of suicide risk.
METHODS: In this cross-sectional population-based study, 17,644 residents aged from 15 to 90 years were selected through a multi-stage sampling method from 22 districts of Tehran. Using hypothesized causal models, the pathways through which various variables influenced the components of SI were identified. Also, the applicability of the compensatory and risk-protective models of resiliency for the prediction of SI was tested by using the interaction multiple regression analyses.
RESULTS: SI was experienced by 13.44% of the study population. SI was more prevalent with individuals between the ages of 15 to 24. There are no differences between men and women when covariate analysis is used. The significant predictions by anxiety and physical activity (moderate) indicate support for the compensatory model for male and female, while the significant prediction by those indicates support for the risk-protective model for females.
CONCLUSIONS: PA would both lessen the detrimental impact of anxiety on suicidal thoughts and potentially reduce the probability of SI. It\'s important to develop and evaluate PA-enhancing treatments, especially for woman who are experiencing anxiety.