Ruiz Ramos M, Muñoz Bellerín J, Ramos León J M, Gil Arrones J, Ruiz Pérez I, Muriel Fernández R
Consejería de Salud, Servicio de Información y Evaluación Sanitaria, Sevilla, 41071, España.
Gac Sanit. 1999 Mar-Apr;13(2):135-40. doi: 10.1016/s0213-9111(99)71338-5.
To describe trends in mortality from suicide among people older then 14 years of age in Andalucía, Spain, from 1976 to 1995, with reference to age, sex, marital status and method of suicide.
With deaths from suicide and the populations of Andalucía, the following indicators were computed: crude and age-adjusted rates by gender, year of death and marital status; age-adjusted rates of years of potential life lost by year of death and marital status. Poisson regression models were obtained to analyze time trends.
Mortality from suicide has experienced an important increase, mainly in men, changing from rates of 13,66 to 18,19 deaths per 100,000 person-years. In women, the increase has been much slighter, from 3,81 to 4,36 deaths per 100,000 person-years. The largest increase has occurred among young males and, to a lesser extent, in the oldest groups, both in males and females, although the rates increase with age. The two main methods of suicide, both in males and females, were hanging and jumping, with the highest frequency occurring among widowers, followed by single and divorced persons, while married people were in the last position.
In a situation of generalized increase in mortality from suicide in Andalucía in the study period, important differences were found by sex, age and marital status.
描述1976年至1995年西班牙安达卢西亚14岁以上人群的自杀死亡率趋势，并参考年龄、性别、婚姻状况和自杀方式。
利用安达卢西亚的自杀死亡人数和人口数据，计算了以下指标：按性别、死亡年份和婚姻状况计算的粗死亡率和年龄调整率；按死亡年份和婚姻状况计算的潜在寿命损失年数的年龄调整率。采用泊松回归模型分析时间趋势。
自杀死亡率显著上升，主要是男性，从每10万人年13.66例死亡增至18.19例。女性的上升幅度小得多，从每10万人年3.81例死亡增至4.36例。自杀率上升幅度最大的是年轻男性，其次是年龄最大的群体，无论男性还是女性皆是如此，尽管自杀率随年龄增长而上升。男性和女性的两种主要自杀方式都是上吊和跳楼，鳏夫的自杀频率最高，其次是单身和离婚者，已婚者的自杀频率最低。
在研究期间安达卢西亚自杀死亡率普遍上升的情况下，发现了性别、年龄和婚姻状况方面的重要差异。
