De Leo Diego, Cerin Ester, Spathonis Kym, Burgis Shelley
Australian Institute for Suicide Research and Prevention, Griffith University, Mt Gravatt Campus, 4111 Brisbane, Queensland, Australia.
J Affect Disord. 2005 Jun;86(2-3):215-24. doi: 10.1016/j.jad.2005.02.001.
The World Health Organisation SUicide PREvention-Multisite Intervention Study on Suicide (WHO/SUPRE-MISS) investigates suicidal behaviours in a number of nations. The feasibility of the different branches of the study was piloted in Queensland, Australia. This paper reports on the community survey component.
Randomised telephone interviews (n=11,572) were conducted to determine the lifetime prevalence of suicidal ideation and attempts, and corresponding socio-demographic and cultural characteristics. A subsequent postal survey sent to consenting individuals reporting lifetime suicide ideation/attempt (n=1311) was meant to ascertain the possible development of that behaviour along a continuum, psychiatric and psychological factors, suicidal transmission, help-seeking, and service utilisation.
Suicide ideation and attempts prevailed in individuals aged 25-44 years, and declined with increasing age. In most cases, suicidal experience/s did not develop over time with progressively increasing severity. Knowledge of someone else's suicidal behaviour significantly increased the risk of similar acts. Almost half of the subjects contended with their suicidal crisis by over-drinking alcohol, and 1/3 through other forms of reckless behaviour. The ratio completed/attempted suicide was 1 to 23. Less than 30% of subjects went to the hospital after their suicidal behaviour, and treatment received and staff attitudes were rated less favourably than that of General Practitioners.
This survey provides a reliable picture of suicide ideation and behaviour in the general population. Information on the development of suicidal process, recklessness, and help-seeking attitudes may be valuable for future prevention strategies.
世界卫生组织自杀预防多地点干预研究（WHO/SUPRE-MISS）在多个国家调查自杀行为。该研究不同分支的可行性在澳大利亚昆士兰州进行了试点。本文报告社区调查部分。
进行随机电话访谈（n = 11572）以确定自杀意念和自杀未遂的终生患病率，以及相应的社会人口学和文化特征。随后向报告有终生自杀意念/未遂的同意个体发送邮政调查（n = 1311），旨在确定该行为在连续过程中的可能发展、精神和心理因素、自杀传播、寻求帮助及服务利用情况。
自杀意念和自杀未遂在25 - 44岁个体中最为常见，并随年龄增长而下降。在大多数情况下，自杀经历不会随时间推移而严重程度逐渐增加。知晓他人的自杀行为会显著增加类似行为的风险。几乎一半的受试者通过过度饮酒应对自杀危机，三分之一通过其他形式的鲁莽行为。自杀完成与自杀未遂的比例为1比23。不到30%的受试者在自杀行为后前往医院，且所接受的治疗和工作人员态度的评分低于全科医生。
本次调查提供了普通人群中自杀意念和行为的可靠情况。关于自杀过程发展、鲁莽行为和寻求帮助态度的信息可能对未来预防策略有价值。
