Kjølseth Ildri, Ekeberg Øivind, Teige Brita
Geriatrisk avdeling, Ullevål universitetssykehus 0407 Oslo.
Tidsskr Nor Laegeforen. 2002 Jun 10;122(15):1457-61.
We wanted to generate more knowledge about elderly people who commit suicide in Norway, especially in relation to demographic conditions, somatic and psychiatric disease, suicide methods and suicidal communication.
The material consists of 287 cases of suicide in people aged 65 years or more who were examined at the Department of Forensic Medicine of the University of Oslo during the 1992-2000 period. Sources of information were the forensic autopsy records and police reports.
In a majority of the cases the deceased had suffered from psychiatric disease (62%), mostly depression (41%). Somatic disease was less often a prominent factor (22%). A majority had an established contact with the health services at the time of suicide. Suicidal thoughts had been expressed by 29%; previous suicide attempts had been reported by 15%.
Health personnel must pay attention to elderly people with symptoms of depression, especially those who express suicidal feelings and have made previous attempts.
我们希望获取更多关于挪威自杀老人的信息,特别是在人口统计学状况、躯体和精神疾病、自杀方式及自杀相关交流方面。
材料包括1992年至2000年期间在奥斯陆大学法医学系接受检查的287例65岁及以上人群的自杀案例。信息来源为法医尸检记录和警方报告。
大多数案例中,死者患有精神疾病(62%),主要是抑郁症(41%)。躯体疾病较少成为突出因素(22%)。大多数人在自杀时已与医疗服务机构建立联系。29%的人曾表达过自杀念头;15%的人曾报告有过自杀未遂经历。
卫生人员必须关注有抑郁症状的老年人,尤其是那些表达过自杀情绪且有过自杀未遂经历的人。