Hempstead Katherine
Center for State Health Policy, Rutgers University, 317 George Street, Suite 400, New Brunswick, NJ 08901-2008, USA.
Soc Sci Med. 2006 Jun;62(12):3186-96. doi: 10.1016/j.socscimed.2005.11.038. Epub 2006 Jan 18.
This study uses hospital discharge data, death certificates and medical examiner data for New Jersey for 1999-2001 to investigate whether fatal and non-fatal self-injury exhibit similar geographic patterns. Findings show that the demographic characteristics of individuals committing fatal and non-fatal self-injury are quite different. Furthermore, attempted and completed suicides have a somewhat different geographical pattern. Municipality-level determinants of suicide and non-fatal self-injury were estimated in two separate models. While measures of isolation such as low population density and high proportions of households with only one member were predictive of completed suicides, non-fatal self-injury was related to unemployment and median age. Both types of self-injury were more common in municipalities which lost population between 1990 and 2000, and where divorce rates were high. Population-based suicide prevention efforts should be aided by the knowledge that although there are some similarities in the spatial pattern of completed and attempted suicides, there are some important differences in significant determinants.
本研究使用了1999 - 2001年新泽西州的医院出院数据、死亡证明和法医数据，以调查致命和非致命的自我伤害是否呈现相似的地理模式。研究结果表明，实施致命和非致命自我伤害的个体的人口统计学特征有很大差异。此外，自杀未遂和自杀既遂的地理模式也有所不同。在两个独立的模型中估计了市级层面自杀和非致命自我伤害的决定因素。虽然诸如低人口密度和高比例的单人家庭等隔离指标可预测自杀既遂情况，但非致命自我伤害与失业率和年龄中位数有关。这两种自我伤害类型在1990年至2000年间人口减少且离婚率高的城市更为常见。基于人群的自杀预防工作应借助这样的认识，即尽管自杀既遂和自杀未遂的空间模式存在一些相似之处，但在重要决定因素方面存在一些重要差异。
