Kelleher M J, Daly M, Kelleher M J
St Anne's Hospital & Clinic, Shanakiel, Cork, Ireland.
Br J Psychiatry. 1992 Nov;161:625-8. doi: 10.1192/bjp.161.5.625.
There has been almost a threefold increase in the incidence of suicide in Ireland during the past 20 years. When each case occurring between 1971 and 1988 was reviewed, the major causes of death were found to be drowning and hanging. Deliberate overdoses with tricyclic antidepressants accounted for less than 4% of all suicides, over the 17 years studied, and during this time, overdose with tricyclics has made a proportionately smaller contribution to the total number of suicides. Greater attention should be paid to identifying and treating the majority of suicidal patients who are at risk by other methods.
在过去20年里，爱尔兰的自杀率几乎增长了两倍。当对1971年至1988年间发生的每一起自杀案例进行审查时，发现主要死因是溺水和上吊。在研究的17年中，故意过量服用三环类抗抑郁药导致的自杀案例占所有自杀案例的比例不到4%，在此期间，三环类药物过量服用对自杀总数的贡献相对较小。应更加重视识别和治疗大多数有其他自杀风险的患者。
