Polewka Andrzej, Groszek Barbara, Trela Franciszek, Zieba Andrzej, Bolechała Filip, Chrostek-Maj Jan, Kroch Stanisław, Datka Wojciech
Klinika Psychiatrii Dorosłych Collegium Medicum Uniwersytetu Jagiellońskiego, 31-501 Kraków ul. Kopernika 21 A.
Przegl Lek. 2002;59(4-5):298-303.
The study presents the results of the interdisciplinary research conducted on the basis of cooperation between the Institute of Forensic Medicine, the Department of Clinical Toxicology, and the Clinic of Psychiatry in Kraków. The aim of the research was to determine similarities and differences between attempted and completed suicide from the point of view of socio-demographic and clinical traits. The authors analysed 220 cases of completed suicide committed in Kraków and its environs in the year 2000. The material presented in the study was based on the archive data from post mortem examinations conducted in the Institute of Forensic Medicine in Kraków. The sample consisted of 177 males and 43 females ranging in age from 13 to 89 years. The mean age was 43.6 years for the entire group, 42 years for males and 50 years for females. The majority of subjects were males, either unemployed, or pensioners. A similar tendency was observed in the group of female subjects. Mental disorders and alcoholic addiction in anamnesis were discovered in a significant number of cases, both in the group of males and in the group of females. Subjects, in whom serious somatic diseases had been detected, constituted a separate group of cases. According to the archive data, in the last century, suicide was most frequently committed by hanging. Similarly, in the sample examined, in 133 cases, suicide was committed by hanging. In 37% of cases, the level of alcohol in the suicides' blood was between 0.5 and 3 or more g/L. In 2000/2001, within the analogical period of 12 months, the group of 200 patients after a suicide attempt by drug intoxication was examined in the Department of Clinical of Toxicology Jagiellonian University College of Medicine. This group included 49 males and 150 females, ranging in age from 18 to 79 years (mean age 35). The examination was conducted by means of structured investigation and medical documentation. Contrary to completed suicide, in the group of suicide attempters, females outnumbered males. Young people under thirty, living in a large city, possessing elementary or secondary education, and either unemployed, or pensioners, constituted the majority of the examined group. A significant percentage of females was divorced and lived with their children only. The majority of the examined population of suicide attempters had used alcohol during the attempt, had suffered from depression, personality or behavioural disorders, had undergone psychiatric treatment, or had had cases of suicide among their friends or relatives.
该研究展示了基于克拉科夫法医学研究所、临床毒理学系和精神病诊所之间合作开展的跨学科研究成果。该研究的目的是从社会人口统计学和临床特征的角度确定自杀未遂与自杀既遂之间的异同。作者分析了2000年在克拉科夫及其周边地区发生的220例自杀既遂案例。该研究中呈现的材料基于克拉科夫法医学研究所进行的尸检档案数据。样本包括177名男性和43名女性,年龄在13岁至89岁之间。整个样本组的平均年龄为43.6岁,男性为42岁,女性为50岁。大多数受试者为男性,要么失业,要么是退休人员。女性受试者组也观察到类似趋势。在大量案例中,无论男性组还是女性组,病史中均发现有精神障碍和酒精成瘾情况。被检测出患有严重躯体疾病的受试者构成了一个单独的案例组。根据档案数据,在上个世纪,上吊是最常见的自杀方式。同样,在所检查的样本中,有133例自杀是通过上吊实施的。在37%的案例中,自杀者血液中的酒精含量在0.5至3克/升或更高。在2000/2001年,在为期12个月的类似时间段内,雅盖隆大学医学院临床毒理学系对200例药物中毒自杀未遂患者进行了检查。该组包括49名男性和150名女性,年龄在18岁至79岁之间(平均年龄35岁)。检查通过结构化调查和医疗记录进行。与自杀既遂情况相反,在自杀未遂组中,女性人数多于男性。年龄在三十岁以下、生活在大城市、接受过小学或中学教育、要么失业要么是退休人员的年轻人构成了被检查群体的大多数。相当比例的女性离婚且仅与子女生活在一起。大多数接受检查的自杀未遂人群在自杀未遂期间饮酒,患有抑郁症、人格或行为障碍,接受过精神治疗,或者其朋友或亲属中有自杀案例。