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塞尔维亚东南部60岁及以上老年人的自杀情况。

Suicide in the elderly 60 years of age and over in the south-east part of Serbia.

作者信息

Petrovic B, Kocic B, Basic S, Jovanovic J, Jovic S, Arandelovic M, Tasic S

机构信息

Faculty of Medicine, University of Nis, Nis, Serbia and Montenegro.

出版信息

Cent Eur J Public Health. 2004 Mar;12(1):21-5.

Abstract

Some previous investigations indicated that economic crisis (inflation in Serbia 1993/94) have great influence on increasing suicide rates in Serbia. After that suicide decreased, despite the war and bombing in 1999, specially among the elderly people. A total of 453 suicides were registered on the territory of south-eastern Serbia during 1995-2001 years. Of them 295 (65.1%) were aged over 60 years. Generally linear trends of suicide among both genders from 1995 to 2001 decreased, but the slope of decreasing was grater among males than among females. The highest rates among the both genders were registered in the years with the maximum number of suicides, but the linear trends of rates have statistically important correlation with time (r>0.5). Average annual suicide rate among males was 42.5, and among women it was 18.7. The highest average annual suicide rate among men was observed in the age group 75 years and over (93.3), and the lowest in the age group 65-69 (20.6). Among males, in the all age group linear trends of suicide rates decreased, with the highest slope among 75 years and over and the lowest among 65-69 years. The highest suicide rate among females was registered in age group 75 years and over (25.6), the lowest in the age group 65-69 (13.5). The linear trends are similar as among males: downward trend was observed among all aged groups, with the highest slope among women 75 years and over. The most common way of suicide among men was hanging up (63%), poisoning and by firearms. There were no statistical differences between way of suicide and age groups. The most frequent way of suicide among females was hanging up (55%), poisoning (25%) and drowning (12%). There were statistically significant differences in drowning between age groups, 70-74 and 75 and over (p<0.05), and between poisoning and age groups 60-64 years and 75 years and over. Poisoning and drowning are statistically more frequent among women than among men.

摘要

先前的一些调查表明,经济危机(1993/1994年塞尔维亚的通货膨胀)对塞尔维亚自杀率的上升有很大影响。在那之后,自杀率下降了,尽管在1999年发生了战争和轰炸,特别是在老年人中。1995年至2001年期间,塞尔维亚东南部地区共登记了453起自杀事件。其中295起(65.1%)的受害者年龄在60岁以上。总体而言,1995年至2001年期间,男性和女性的自杀率呈线性下降趋势,但男性下降的斜率大于女性。在自杀人数最多的年份,男性和女性的自杀率最高,但自杀率的线性趋势与时间具有统计学上的显著相关性(r>0.5)。男性的年平均自杀率为42.5,女性为18.7。男性中年平均自杀率最高的年龄段是75岁及以上(93.3),最低的是65 - 69岁(20.6)。在男性中,所有年龄组的自杀率线性趋势均下降,75岁及以上年龄组下降斜率最大,65 - 69岁年龄组最小。女性自杀率最高的年龄段是75岁及以上(25.6),最低的是65 - 69岁(13.5)。线性趋势与男性相似:所有年龄组均呈下降趋势,75岁及以上女性下降斜率最大。男性最常见的自杀方式是上吊(63%)、中毒和使用火器。自杀方式与年龄组之间无统计学差异。女性最常见的自杀方式是上吊(55%)、中毒(25%)和溺水(12%)。70 - 74岁与75岁及以上年龄组在溺水方面存在统计学显著差异(p<0.05),60 - 64岁与75岁及以上年龄组在中毒方面存在统计学显著差异。中毒和溺水在女性中比在男性中更常见。

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