养老机构老人自杀意念发生率的meta分析（英文）

The Prevalence of Suicidal Ideation among Elderly People Living in Nursing Homes:A Meta-analysis

目的:本研究旨在探索养老机构内60岁及以上老人自杀意念的发生状况。方法:在电子数据库中检索相关文献,按纳入标准进行筛选。计算养老机构老人自杀意念的合并发生率,探讨不同特征老人间自杀意念的流行差异。结果:最终纳入10篇文献,共2628名研究对象,其自杀意念在5.6%到53.5%之间,合并发生率为21.0%(95%CI:14.3%-27.6%)。亚组分析结果显示,年龄在80岁及以上的丧偶女性的自杀意念发生率较高。结论:养老机构内老人自杀意念的发生率处于较高水平,需引起公共卫生等相关部门的重视,进一步研究其影响因素及干预措施。

Objective: This study aims to find the status and prevalence of suicidal ideation among the population aged 60 years and over living in nursing homes. Methods: The relevant studies were searched in electronic databases(Pub Med,Medline, Web of Science, Embase, Wanfang Database, Chinese National Knowledge Infrastructure, Chongqing VIP Database and China Biomedical Database), bibliographies of retrieved articles were also searched. The pooled prevalence of suicidal ideation among nursing home elderly was calculated. The difference in prevalence of suicidal ideation among elderly with different characteristics was explored. Results: A total of 10 studies were included with 2628 subjects. The prevalence of suicidal ideation among elderly living in nursing homes ranged from 5.6% to 53.5%. The pooled prevalence was 21.0%(95% CI: 14.3%-27.6%). Subgroup analyses showed the prevalence was higher in females(23.0%) than in males(20.2%), in widowed elderly(17.6%) than in married elderly(10.4%). In three subgroups of age, 60-69, 70-79 and ≥ 80, the prevalence was 22.3%, 13.6% and 31.8% respectively. Conclusion: The high prevalence of suicidal ideation among nursing home elderly indicate the major public health significance of this condition and suggest a need for further research on its influencing factors and interventions.