Ross O, Kreitman N
Br J Psychiatry. 1975 Dec;127:575-82. doi: 10.1192/bjp.127.6.575.
National samples of case records of suicidal-type deaths from England and Wales and from Scotland were reassessed by officials in the other country. It emerged that similar criteria for suicide existed in both countries, and that there was no age-related tendency to misclassify cases. The lower official suicide rate amongst the old in Scotland was therefore considered not to result from ascertainment differences. It was also concluded that Scottish records were not so briefly documented as to prevent the conclusive ascertainment of cause by England and Wales coroners. Cases which were designated 'undetermined' in Scotland tended to be classified 'accidental' by coroners. Reasons for the lower incidence of suicide in Scotland are discussed.
来自英格兰和威尔士以及苏格兰的全国自杀类型死亡病例记录样本由另一个国家的官员重新进行了评估。结果发现,两国存在相似的自杀标准,而且不存在与年龄相关的病例误分类倾向。因此,苏格兰老年人官方自杀率较低被认为并非由认定差异导致。研究还得出结论,苏格兰的记录并非过于简略,以至于英格兰和威尔士的验尸官无法最终确定死因。在苏格兰被认定为“死因不明”的病例,验尸官往往将其归类为“意外”。文中讨论了苏格兰自杀率较低的原因。