Yip Paul S F, Liu Ka Y, Law C K
Hong Kong Jockey Club Centre for Suicide Research and Prevention, University of Hong Kong, Hong Kong.
Crisis. 2008;29(3):131-6. doi: 10.1027/0227-5910.29.3.131.
Suicide is an important public health problem in China: It is the fifth leading cause of death in China, and suicide in China accounts for over 30% of the world's overall suicide deaths. The substantial burden due to suicide has not been well recognized. This study aims to provide an estimate of the socioeconomic burden of the suicide problem in China in terms of years of life lost (YLL) and to discuss its implications. Suicide rates and the related YLL by age, gender, and region (urban/rural) from 1990 to 2000 were estimated using the most recent data from the Ministry of Health of China. The suicide rate in rural China was three times higher than that in urban areas. Suicide completers in rural areas shared 90% of total YLL. Rural women aged 25-39 years contributed the largest share of YLL. Our results show that some population subgroups contributed a disproportionate share to the disease burden of suicide. National strategies for suicide prevention should include targeted programs in catering the need of these specified subgroups in China.
它是中国第五大死因，且中国的自杀人数占全球自杀死亡总数的30%以上。自杀造成的沉重负担尚未得到充分认识。本研究旨在根据寿命损失年数（YLL）估算中国自杀问题的社会经济负担，并探讨其影响。利用中国卫生部的最新数据，估算了1990年至2000年按年龄、性别和地区（城市/农村）划分的自杀率及相关的寿命损失年数。中国农村地区的自杀率是城市地区的三倍。农村地区的自杀死亡者占寿命损失年数总和的90%。25至39岁的农村女性在寿命损失年数中所占比例最大。我们的结果表明，一些人群亚组对自杀疾病负担的贡献不成比例。中国的自杀预防国家战略应包括针对这些特定亚组需求的有针对性的项目。
