Heikkinen M, Aro H, Lönnqvist J
Department of Psychiatry, University of Helsinki, Finland.
Acta Psychiatr Scand. 1992 May;85(5):380-4. doi: 10.1111/j.1600-0447.1992.tb10323.x.
All suicides (n = 1397) in Finland during 1 year were studied by thorough interviews with the surviving next of kin. We included 388 suicides after which a spouse's or a cohabiting partner's subjective views of precipitant stressors in suicide process during the last 3 months and earlier in life were determined. In 82% of the cases the partner considered life events as precipitant stressors for the suicide. Among men, the most common stressors considered as suicide precipitants were somatic illness (25%), interpersonal discord (22%) and separation (14%). Among women these were mental disorder (28%), interpersonal discord (18%) and death of a significant other (17%). Somatic illness and retirement were more commonly considered as precipitants among older men, whereas interpersonal discord, separation and financial trouble were more common among younger men. Among women, job problems were more commonly considered as precipitants for younger subjects. Among both sexes, childhood adversity was more commonly reported among the younger subjects.
通过对芬兰一年内所有1397例自杀案例的幸存近亲进行全面访谈展开研究。我们纳入了388例自杀案例,确定了配偶或同居伴侣对自杀过程中过去3个月以及早年的诱发应激源的主观看法。在82%的案例中,伴侣认为生活事件是自杀的诱发应激源。在男性中,被认为是自杀诱发因素的最常见应激源是躯体疾病(25%)、人际不和(22%)和分居(14%)。在女性中,这些因素是精神障碍(28%)、人际不和(18%)和重要他人死亡(17%)。躯体疾病和退休在老年男性中更常被视为诱发因素,而人际不和、分居和经济困难在年轻男性中更为常见。在女性中,工作问题在年轻受试者中更常被视为诱发因素。在两性中,童年逆境在年轻受试者中报告得更为普遍。