Aasland O G, Ekeberg O, Schweder T
The Research Institute, The Norwegian Medical Association, and Centre for Health Administration, University of Oslo, Sentrum Oslo, Norway.
Soc Sci Med. 2001 Jan;52(2):259-65. doi: 10.1016/s0277-9536(00)00226-4.
The aim of the present study is to compare suicide rates between 1960 and 1989 for Norwegian physicians with corresponding rates for other Norwegians with and without university education, by age, gender, and five-year period, based on death certificates for all Norwegians who died in the period 1960-1989. There were 82 registered physician suicides, of which 9 were female, 265 suicides by persons with other university education, and 11,165 by persons with no university education. Suicide rate is measured in number of deaths per 100,000 person years. Crude suicide rates were 47.7 (95% CI 37.7-60.4) for male physicians, 20.1 (17.7-22.9) for other male university graduates, and 22.7 (22.2-23.2) for men with no university education. The corresponding figures for females were 32.3 (15.8-63.7), 13.0 (8.4-19.8) and 7.7 (7.5-8.0). Both for males and females, suicide rates, controlled for age and period, were significantly higher for physicians than for persons with other or no university education. Poisson modelling showed that the risk of suicide for male physicians has the same age pattern as for other males with higher education. In 1985-89 the suicide rate for male physicians increased nearly linearly from about 35 at the age 35-40 to about 100 at the age 75-79, which was almost three times higher than for the other male university graduates. For the age group 50-54 the estimated rate increases from about 50 in 1960-64 to about 90 in 1985-89. For the female physicians, the low number of cases prevents reliable estimation of trends. For male physicians, the trend from 1960 to 1989 is increasing. The estimated risk for a single physician to commit suicide was almost 5 times that of a married or co-habitant colleague. For 52% of the male and 85% of the female physicians the suicide method was poisoning. This is about twice the rates in the general population.
本研究的目的是根据1960 - 1989年期间所有挪威死亡者的死亡证明，按年龄、性别和五年时间段，比较1960年至1989年挪威医生的自杀率与其他有或没有大学教育的挪威人的相应自杀率。登记有82例医生自杀，其中9例为女性，265例为有其他大学教育的人自杀，11165例为没有大学教育的人自杀。自杀率以每10万人年的死亡人数来衡量。男性医生的粗自杀率为47.7（95%可信区间37.7 - 60.4），其他男性大学毕业生为20.1（17.7 - 22.9），没有大学教育的男性为22.7（22.2 - 23.2）。女性的相应数字分别为32.3（15.8 - 63.7）、13.0（8.4 - 19.8）和7.7（7.5 - 8.0）。无论男性还是女性，在控制年龄和时间段后，医生的自杀率显著高于有其他大学教育或没有大学教育的人。泊松模型显示，男性医生的自杀风险与其他受过高等教育的男性具有相同的年龄模式。在1985 - 1989年期间，男性医生的自杀率从35 - 40岁时的约35几乎呈线性上升至75 - 79岁时的约100，这几乎是其他男性大学毕业生的三倍。对于50 - 54岁年龄组，估计自杀率从1960 - 1964年的约50上升至1985 - 1989年的约90。对于女性医生，由于病例数较少，无法可靠估计趋势。对于男性医生，1960年至1989年的趋势呈上升。一名单身医生自杀的估计风险几乎是已婚或同居同事的5倍。52%的男性医生和85%的女性医生的自杀方式是中毒。这大约是普通人群中毒率的两倍。
