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JAHA：卒中后自杀的风险分析！

2018-01-11 xing.T MedSci原创

卒中自杀风险
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由此可见，这些结果为预防台湾和其他亚洲国家脑卒中后患者的自杀企图给临床医生和政府传达了重要信息。

近日，心血管疾病领域权威杂志JAHA上发表了一篇研究文章。研究人员以台湾人群为基础的队列研究评估了卒中后患者自杀企图的风险和危险因素。

该研究的脑卒中队列和非脑卒中队列分别纳入了713690例患者和1426009例对照者。在2000和2011期间，成年（年龄＞18岁）患者新发脑卒中的诊断是根据国际疾病分类第九版（ICD‐9‐CM；代码为430-438）进行的，这些患者被纳入卒中后队列。研究人员计算了自杀企图的调整后风险比（ICD‐9‐CM代码为E950-E959），在调整年龄、性别、月收入、城市化水平、职业类别以及各种合并症后。研究人员采用Kaplan–Meier分析评估了自杀企图的累计发病率，以及采用细灰法作为一个竞争事件来估计不同组别之间死亡分险比和95%可信区间。

研究人员发现自杀企图的累积发病率在卒中后队列中明显较高，相比于对照者，自杀企图调整后的风险比为2.20（95%可信区间为2.04-2.37）。该研究中卒中后自杀企图的主要危险因素为月收入较低（低于660美元）、居住在都市化程度较低的地区、从事体力劳动以及在50岁之前发生卒中。在这项研究中，男性和女性患者之间自杀企图风险没有显著性差异。

由此可见，这些结果为预防台湾和其他亚洲国家脑卒中后患者的自杀企图给临床医生和政府传达了重要信息。

原始出处：

Tomor Harnod, et al.Risk of Suicide Attempt in Poststroke Patients: A Population‐Based Cohort Study.JAHA.2017. https://doi.org/10.1161/JAHA.117.007830

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    2018-11-11 waiwai3039

    #卒中后#

    0

  2. 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    2018-01-14 三生有幸9135

    学习一下谢谢分享

    0

  3. 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    2018-01-14 虈亣靌

    谢谢分享.学习了

    0

  4. 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createdAvatar=https://img.medsci.cn/20200816/e4675a86ea694f12b82202b320dc2654/12f6b900498349e994ce8f516a584d6a.jpg, createdBy=09431951290, createdName=大爰, createdTime=Sat Jan 13 10:30:34 CST 2018, time=2018-01-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1267684, encodeId=b796126e68416, content=<a href='/topic/show?id=922f21183d' target=_blank style='color:#2F92EE;'>#AHA#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=32, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=2118, encryptionId=922f21183d, topicName=AHA)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=bf3d82, createdName=zhaohui6731, createdTime=Fri Jan 12 23:12:00 CST 2018, time=2018-01-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=277923, encodeId=f6422e792394, content=好文.值得一看.学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=41, replyNumber=0, topicName=null, 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GetPortalCommentsPageByObjectIdResponse(id=277482, encodeId=744a2e748257, content=受益, beContent=null, objectType=article, channel=null, level=null, likeNumber=14, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2018/01/11/843340fb4682f03b12c0770c09229692.jpg, createdBy=47aa2244654, createdName=121503aam61暂无昵称, createdTime=Thu Jan 11 09:28:38 CST 2018, time=2018-01-11, status=1, ipAttribution=)]
    2018-01-13 大爰

    学习了谢谢分享!!

    0

  5. 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    2018-01-12 zhaohui6731

    #AHA#

    0

  6. 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    2018-01-12 Ramsey

    好文.值得一看.学习了

    0

  7. 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beContent=null, objectType=article, channel=null, level=null, likeNumber=11, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzcjoLTEEgkSSQ8pVIiaf4a4INaoMLBV16QEk3dvvBRpicwIwmDGv0jePErJ4aE9ibVBDPtkialQLT9Bs/0, createdBy=04811949400, createdName=邓启付, createdTime=Thu Jan 11 09:47:00 CST 2018, time=2018-01-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=277489, encodeId=a3fe2e74897b, content=学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=12, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NfDEeydJz0GlP8O0ngrUX6AYCXFic0XDOOAyeQicIqnOd4TrWSwiagJrsFNYuWC1Uc6iavbS1hWt9xtZAhAqLGHqZyl/0, createdBy=42891977006, createdName=1e17414fm02(暂无匿称), createdTime=Thu Jan 11 09:34:57 CST 2018, time=2018-01-11, status=1, ipAttribution=), 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    2018-01-11 惠映实验室

    学习了.谢谢.

    0

  8. 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    2018-01-11 邓启付

    卒中后**与患者病理心理有关

    0

  9. 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    2018-01-11 1e17414fm02(暂无匿称)

    学习

    0

  10. 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