主页 > 医学文档 >
汇004 灾害后自杀流行研究Epidemiology of suicide 200
Epidemiology of suicide after natural disasters: a review on the literature and a methodological framework for future studies.
On one hand, there is an association between exposure to natural disasters and becoming mentally distressed, and on the other hand, there is also a relation between being mentally distressed and committing suicide; therefore, it is possible that one finds a relation between exposure to natural disasters and committing suicide. This review, therefore, will not only seek such relations in the literature but also try to highlight the most important methodological issues of finding such connection.
PMID: 18450280 [PubMed - in process] 费尽周折，终于从作者那里得到了全文。前天给作者发的邮件，回信说还没有得到PDF版本，要等到印刷版出来后给寄print。于是又发了邮件，由于灾区情况紧急，非常希望得到这篇全文，客气地问他能否提供论文manuscript，作者马上电话编辑部，编辑部很快回复并电邮了PDF版本，而且作者第一时间电邮了过来，我也很诚挚地感谢了作者，回信最后我写到－"God will bless you!"
看来天下还是热心人多，不管中国还是外国！！！
欢迎各位战友认领翻译！
汇004 灾害后自杀流行研究Epidemiology of suicide 原文2008.pdf (79.3k) 建议将全文转化成word贴于此处，分几部分供战友认领、翻译，请相关人员给予技术支持，谢谢！ Epidemiology of suicide after natural disasters: A review on the literature anda methodological framework for future studies
Mohsen Rezaeian, PhD, Epidemiologist
DM LITERATURE REVIEW
American Journal of Disaster Medicine, Vol. 3, No. 1, January/February 2008
Abstract
On one hand, there is an association between exposure to natural disasters and becoming mentally distressed,and on the other hand, there is also a relation between being mentally distressed and committing suicide; therefore, it is possible that one finds a relation between exposure to natural disasters and committing suicide. This review, therefore, will not only seek such relations in the literature but also try to highlight the
most important methodological issues of finding such connection. Key words: suicide, natural disasters, epidemiology
Introduction
Natural disasters (including earthquakes,floods, tropical cyclones, etc) are events in which significantnumbers of people are exposed to dangerous situations.1 The frequency of such disasters has increased alarmingly during the past decades.2-4 Evidence suggests that between a third and half of all the persons who are exposed to a disaster suffer from mental distress, including posttraumatic stress disorder (PTSD) and/or depression and/or anxiety disorders.5
Suicide also can be defined as “deliberate act of self harm leading to death.”6 It should be noted that one of the strongest risk factors for suicide tends to be mental disorders.6 In a meta-analysis, it has been shown that almost all of the mental disorders increase the suicide risk between fivefold and 15-fold.7 However, among all mental disorders, depression is more strongly associated with suicide.8
Given the link between exposure to natural disasters and becoming mentally distressed, on one hand, and between being mentally distressed and committing suicide, on the other hand, it would be possible that one finds a relation between exposure to natural disasters and committing suicide. This review, therefore, will not only seek such relation in the literature but also tries to highlight the most important methodological
issues of finding such connection.
Suicide after natural disasters, what literature tells us?
I started my literature review by searching using a well-known database, ie, PubMed (http://www.ncbi. nlm.nih.gov). It should be mentioned that PubMed offers access to MEDLINE, ie, the US National Library of Medicine’s (NLM’s) leading database that
covers almost all aspects of health and medicine. PubMed also provides access to other citations and to citations that go before the date that a journal was selected for MEDLINE.9
In my search strategy, I have chosen suicide, natural,and disasters as three key words and retrieved only 27 articles, from which there are only eight original articles that explicitly dealt with suicide after natural disasters. Most of these studies that were
conducted in a different variety of settings highlight that being exposed to a natural disasters might increase the rates of suicide,10-16 although one of them, the study by Krug et al.,15 later retracted some of its initial findings because of the problems in its statistical analyses.17 There is only one study that shows thereverse relation.18
It should also be emphasized that among the 27retrieved articles there are four original articles that dealt with suicidality, ie, suicidal ideation, plans, and deliberate self-harm (DSH) after natural disasters.DSH can be defined as nonfatal acts of self-poisoning and selfinjury, which refers to attempted suicide and parasuicide also.6 Similar to the previous one, three of four studies emphasize that being exposed to a natural disastersincreased suicidality,19-21 while only one study shows thereverse relation.22 Therefore, a review on the literatures shows that there are only a handful of articles that focus on the relation between suicide and natural disasters. Nevertheless, it would be possible that by changing the database or search strategy or its keywords plus hand searching of the selected journals or even by looking at the reference list of the retrieved papers, one can find an increased number of the relevant articles. However, there is still a scarcity of research in this area.
阅读本文的人还阅读：
作者:admin@医学,生命科学 2010-09-23 05:11
医学,生命科学网