Lotrakul Manote
Department of Psychiatry, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.
Psychiatry Clin Neurosci. 2006 Feb;60(1):90-5. doi: 10.1111/j.1440-1819.2006.01465.x.
The aim of this study was to examine the characteristic features of suicides in Thailand between 1998 and 2003. Collected data during 1998-2003 from the Bureau of Policy and Strategy, Ministry of Public Health were analyzed to reveal the mortality from suicide according to age, gender, rate and methods of suicides. Suicide rates were found to have increased to a peak of 8.6 per 100 000 (5290 suicides) in 1999 and then to have decreased to 7.1 per 100 000 in 2003. The average suicide rate during 1998-2003 was 7.9 per 100 000 with a male to female ratio of 3.4:1. Male suicide reached a peak for those aged 25-29 years (21.9 per 100 000) while female suicide showed less variation with age. Hanging was the most common method used, followed by ingestion of agricultural toxic substances. Suicide was most prevalent in upper northern region where HIV infection might be related to the high prevalence. Suicide prevention program should focus on males in early adulthood, and particular measures should be conducted to reduce risk factors related to HIV infection among people in northern Thailand.
本研究旨在调查1998年至2003年间泰国自杀事件的特征。对1998 - 2003年期间从公共卫生部政策与战略局收集的数据进行分析,以揭示按年龄、性别、自杀率和自杀方式划分的自杀死亡率。发现自杀率在1999年升至每10万人8.6例(5290例自杀)的峰值,随后在2003年降至每10万人7.1例。1998 - 2003年期间的平均自杀率为每10万人7.9例,男女比例为3.4:1。男性自杀率在25 - 29岁年龄段达到峰值(每10万人21.9例),而女性自杀率随年龄变化较小。上吊是最常用的自杀方式,其次是摄入农用有毒物质。自杀在泰国北部地区最为普遍,该地区的艾滋病毒感染可能与高自杀率有关。自杀预防计划应关注成年早期的男性,并应采取特别措施降低泰国北部人群中与艾滋病毒感染相关的风险因素。