Aaron Rita, Joseph Abraham, Abraham Sulochana, Muliyil Jayaprakash, George Kuryan, Prasad Jasmine, Minz Shantidani, Abraham Vinod Joseph, Bose Anuradha
Department of Community Health, Christian Medical College, Vellore 632002, India.
Lancet. 2004 Apr 3;363(9415):1117-8. doi: 10.1016/S0140-6736(04)15896-0.
Different rates of suicide have been reported in India. In Vellore, southern India, we have noted that the rates of suicides are several fold higher than those reported anywhere in the world, especially in young women. The department of community health at the Christian Medical College, Vellore, has obtained data prospectively on births, deaths, and morbidity in a population of 108?000. We used the verbal autopsy method to assign cause of death. The mortality rates were analysed for 10 years, from 1992 to 2001, for the age-group 10-19 years. Suicides accounted for about a quarter of all deaths in young men and between 50% and 75% of all deaths in young women. The average suicide rate for young women was 148 per 100?000, and for young men 58 per 100?000. We believe that our findings are reliable. The system of surveillance is well established and the verbal autopsy method has been validated. These very high rates of suicide need urgent intervention.
印度报告的自杀率各不相同。在印度南部的韦洛尔，我们注意到自杀率比世界上其他任何地方所报告的都要高出几倍，尤其是在年轻女性中。韦洛尔基督教医学院的社区卫生部门前瞻性地获取了10.8万人口的出生、死亡和发病数据。我们使用了死因推断方法来确定死亡原因。对1992年至2001年这10年间10至19岁年龄组的死亡率进行了分析。自杀约占年轻男性所有死亡人数的四分之一，占年轻女性所有死亡人数的50%至75%。年轻女性的平均自杀率为每10万人148例，年轻男性为每10万人58例。我们认为我们的研究结果是可靠的。监测系统完善，死因推断方法也已得到验证。这些极高的自杀率需要紧急干预。
