Kebede D, Alem A
Department of Community Health, Faculty of Medicine, University of Addis Ababa, Ethiopia.
Acta Psychiatr Scand Suppl. 1999;397:35-9. doi: 10.1111/j.1600-0447.1999.tb10692.x.
Attempted suicide is one of the major risk factors for completed suicide, is associated with psychiatric disorders, and is also a potentially fatal event. We describe here a study of suicide attempts and ideation in a representative sample of 10,203 adults in Addis Ababa. The study was conducted between January and March 1994. The prevalence of current suicidal ideation was 2.7%. Lifetime prevalence of suicidal attempt was 0.9%. Most of the attempts (66%) occurred when subjects were under 25 years of age. Hanging was the preferred method for men and poisonings for women. There were no significant associations between suicide attempt and sex, ethnicity or religion. Current suicidal ideation was more common in men than women, odds ratio (95% confidence interval), OR (95% CI): 0.67 (0.48, 0.93). There was a statistically significant trend of decreasing risk of ideation with increasing age and educational attainment. There was a 68% decrease in the risk of ideation in the 60 years of age and above group compared to the 15-24 year group: OR (95% CI): 0.32 (0.16, 0.62). Marital status, ethnicity, and religion were not associated with suicidal ideation.
自杀未遂是导致自杀死亡的主要风险因素之一，与精神疾病相关，也是一个潜在的致命事件。我们在此描述一项针对亚的斯亚贝巴10203名成年人的代表性样本进行的自杀未遂和自杀意念研究。该研究于1994年1月至3月进行。当前自杀意念的患病率为2.7%。自杀未遂的终生患病率为0.9%。大多数自杀未遂事件（66%）发生在受试者25岁以下时。男性首选的自杀方式是上吊，女性则是中毒。自杀未遂与性别、种族或宗教之间没有显著关联。当前自杀意念在男性中比女性更常见，优势比（95%置信区间），OR（95%CI）：0.67（0.48，0.93）。随着年龄和教育程度的增加，自杀意念风险呈统计学显著下降趋势。与15 - 24岁组相比，60岁及以上组的自杀意念风险降低了68%：OR（95%CI）：0.32（0.16，0.62）。婚姻状况、种族和宗教与自杀意念无关。
