Platt S, Bille-Brahe U, Kerkhof A, Schmidtke A, Bjerke T, Crepet P, De Leo D, Haring C, Lonnqvist J, Michel K
WHO/EURO multicentre study on parasuicide, MRC Medical Sociology Unit, Glasgow, United Kingdom.
Acta Psychiatr Scand. 1992 Feb;85(2):97-104. doi: 10.1111/j.1600-0447.1992.tb01451.x.
The WHO/EURO multicentre study on parasuicide is a new, coordinated, multinational, European study that covers two broad areas of research: monitoring trends in the epidemiology of parasuicide (epidemiological monitoring study); and follow-up investigations of parasuicide populations, with a view to identifying the social and personal characteristics predictive of future suicidal behaviour (repetition prediction project). This article provides background information on the development and organization of the multicentre study, and presents selected findings from the epidemiological monitoring project, based on a preliminary examination of data collected in 15 centres on parasuicides aged 15 years and over treated in health facilities in defined catchment areas during the year 1989. The overall parasuicide incidence varied considerably across the centres, from a high (event) rate of 414 per 100,000 males in Helsinki to a low of 61 among males in Leiden. The highest female event rate was 595 in Pontoise, and the lowest 95 in Guipuzcoa. The mean event rate across all centres was 167 among males and 222 among females. Parasuicide incidence tended to be elevated among 15- to 34-year-olds, with lowest rates among those aged 55 years and over. With one exception (Helsinki), the female parasuicide rate was higher than the male rate, the F:M ratio ranging from 0.71:1 to 2.15:1, with a median of 1.5:1 (events). Short-term repetition rates (as measured by the event:person ratio) differed between centres, from 1.03 to 1.30 (median = 1.12) among males, and from 1.07 to 1.26 (median = 1.13) among females. Although we warn against generalizing from our findings to make statements about differences in parasuicide between countries, we argue that the differences between centres are valid and should be addressed in further research.
世界卫生组织/欧洲区域办事处关于自杀未遂的多中心研究是一项全新的、协调开展的跨国欧洲研究，涵盖两个广泛的研究领域：监测自杀未遂流行病学趋势（流行病学监测研究）；以及对自杀未遂人群进行随访调查，以确定预测未来自杀行为的社会和个人特征（重复预测项目）。本文提供了关于该多中心研究的开展和组织情况的背景信息，并基于对1989年期间在特定集水区的医疗机构接受治疗的15岁及以上自杀未遂者的数据进行的初步审查，展示了流行病学监测项目的部分研究结果。各中心的总体自杀未遂发生率差异很大，从赫尔辛基每10万名男性中414例的高（事件）发生率到莱顿男性中的低发生率61例。女性事件发生率最高的是蓬图瓦兹的595例，最低的是吉普斯夸的95例。所有中心的平均事件发生率男性为167例，女性为222例。自杀未遂发生率在15至34岁人群中往往较高，55岁及以上人群中发生率最低。除了一个例外（赫尔辛基），女性自杀未遂率高于男性，男女比例在0.71:1至2.15:1之间，中位数为1.5:1（事件）。各中心的短期重复率（以事件:人数比衡量）有所不同，男性为1.03至1.30（中位数 = 1.12），女性为1.07至1.26（中位数 = 1.13）。尽管我们提醒不要从我们的研究结果进行归纳以对各国之间的自杀未遂差异进行陈述，但我们认为各中心之间的差异是有效的，应在进一步研究中加以探讨。
