上海交通大学学报（医学版）

上海交通大学学报（医学版） ›› 2019, Vol. 39 ›› Issue (3): 327-.doi: 10.3969/j.issn.1674-8115.2019.03.019

• 综述 • 上一篇    下一篇

HIV感染者 /艾滋病患者自杀现状和风险因素的研究进展

彭子荷 1，蔡泳 1，魏巍 2   

  1. 1. 上海交通大学公共卫生学院，上海 200025；2. 上海市普陀区疾病预防控制中心，上海 200333
  • 出版日期:2019-03-28 发布日期:2019-04-28
  • 通讯作者: 蔡泳，电子信箱：caiyong202028@hotmail.com。魏巍，电子信箱：latwinter@sina.com。为共同通信作者。
  • 作者简介:彭子荷（1997—），女，学士；电子信箱： 940394169@qq.com。
  • 基金资助:
    国家自然科学基金（71673187）

Suicidal status and its risk factors of people living with HIV/AIDs

PENG Zi-he1, CAI Yong1, WEI Wei2   

  1. 1. Shanghai Jiao Tong University School of Public Health, Shanghai 200025, China; 2. Putuo District Center For Disease Control and Prevention, Shanghai 200333, China
  • Online:2019-03-28 Published:2019-04-28
  • Supported by:
    National Natural Science Foundation of China, 71673187

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摘要： 虽然抗反转录病毒治疗方案的出现延长了 HIV感染者 /艾滋病患者（ people living with HIV/AIDS，PLWH）的寿命，但是该人群的自杀风险仍然显著高于普通人群。部分 PLWH存在自杀意念，有自杀尝试，或有自杀计划。该人群自杀风险居高不下的人口学因素主要是性别、性取向、年龄和宗教种族等；社会心理因素主要是压力源（压力创伤性事件、社会人际关系问题和精神疾病）、污名化及隐瞒病史等。 PLWH社会人际关系问题包括歧视、社会孤立感和社会支持的缺乏等，精神疾病包括抑郁障碍、焦虑障碍和物质使用障碍等。政府及相关组织可以通过研究和改善这些社会心理因素来降低 PLWH的自杀风险。

关键词: HIV感染者 /艾滋病患者, 自杀风险, 社会心理因素

Abstract:

Although antiretroviral therapy appears to prolong the lifespan of people living with HIV/AIDS (PLWH), but the suicidal risk of these people is still significantly higher than the general population. Some PLWH had suicidal ideation, attempted suicide, and suicidal plan. The reasons for the high risk among these people mainly include as follows. ① The demographic factors include gender, sexual orientation, age, religion, race, etc. ② The social psychological factors are stressors (stressful or traumatic life events, social or interpersonal problems and mental illness), stigma, hiding HIV history, etc. Social or interpersonal problems include discrimination, social isolation, lack of social support, etc. Mental diseases include depression, anxiety disorders, substance disorders, etc. Into reduce the suicidal risk of PLWH, the government and related organizations can research and improve these social psychological factors.

Key words: people living with HIV/AIDS (PLWH), suicidal risk, social psychological factor

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