人际压力与自杀意念相关性的Meta分析  

Correlation between interpersonal stress and suicidal ideation:a meta-analysis

作　　者：刘姗姗[1] 张晴晴 刘欣颖 贺蕊 朱春燕[1,2] LIU Shanshan;ZHANG Qingqing;LIU Xinying;HE Rui;ZHU Chunyan(The School of Mental Health and Psychological Sciences,Anhui Medical University,Hefei 230032,P.R.China;Anhui Province Key Laboratory of Cognition and Neuropsychiatric Disorders,Hefei 230032,P.R.China)

机构地区：[1]安徽医科大学精神卫生与心理科学学院,合肥230032 [2]认知与神经精神疾病安徽省重点实验室,合肥230032

出　　处：《中国循证医学杂志》2023年第4期410-415,共6页Chinese Journal of Evidence-based Medicine

基　　金：国家科技部重点研发计划项目(编号:2021YFC3300500)。

摘　　要：目的系统评价人际压力与自杀意念的相关性。方法计算机检索PubMed、EMbase、Cochrane Library、CBM、WanFang Data和CNKI数据库,搜集关于人际压力与自杀意念的相关性研究,检索时限均从建库至2022年4月27日。由2位研究者独立筛选文献、提取资料并评价纳入研究的偏倚风险后,采用Stata 14.0软件行Meta分析。结果共纳入42项研究,其中3项队列研究,39项横断面研究,总样本量为193810人。Meta分析结果显示,经历过人际压力的人群产生自杀意念的风险高于未经历人际压力人群[OR=2.11,95%CI(1.99,2.23),P<0.01]。亚组分析结果显示:研究地区中经历过人际压力的美洲人群和其他地区人群相比与自杀意念的关联性更强;研究对象中经历过人际压力的青年人群和其他年龄段相比与自杀意念的关联性更强;经历过伴侣压力的人群和经历过其他人际压力类型人群相比与自杀意念的关联性更强。结论本研究表明经历过人际压力的人群产生自杀意念的风险更大,并且在研究地区、研究对象及人际压力类型间存在一定差异。受纳入研究数量和质量限制,上述结论尚需开展更多高质量研究予以验证。Objective To systematically evaluate the correlation between interpersonal stress and suicidal ideation.Methods The PubMed,EMbase,Cochrane Library,CBM,WanFang Data and CNKI databases were searched to collect studies on the correlation between interpersonal pressure and suicidal ideation from database inception to April 27,2022.Two researchers independently screened the literature,extracted data and assessed the risk of bias of the included studies.Meta-analysis was then performed using Stata 14.0 software.Results A total of 42 studies including 3 cohort studies,and 39 cross-sectional studies,with a total sample size of 193810 participants were included.Meta-analysis showed that the risk of suicidal ideation was higher in people who had experienced interpersonal pressure than in people who had not(OR=2.11,95%CI 1.99 to 2.23,P<0.01).Subgroup analysis showed that people in the Americas who had experienced interpersonal pressure were more strongly associated with suicidal ideation than people in other regions of the studied area.Young adults in the study who had experienced interpersonal pressure were more strongly associated with suicidal ideation than other studied age groups;People who had experienced partner pressure were more strongly associated with suicidal ideation than those who had experienced other types of interpersonal pressure.Conclusion This study shows that people who have experienced interpersonal pressure are at greater risk of suicidal ideation,and there are certain dfferences among study areas,subjects and types ofinterpersonal pressure.Due to the limited quantity and quality of the included studies,more high-quality studies are needed to verify the above conclusion.

关 键 词：人际压力 自杀意念 伴侣压力 青年 META分析 

分 类 号：R749[医药卫生—神经病学与精神病学]