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自杀方式的十年趋势。来自亚洲人群的证据。

The ten-year trend in suicide methods. Evidence from an Asian population.

作者信息

Chung Kuo-Hsuan, Lee Hsin-Chien, Chen Shu-Fen, Lin Herng-Ching

机构信息

Taipei Medical University Hospital, Department of Psychiatry, Taipei, Taiwan.

出版信息

Can J Public Health. 2008 Sep-Oct;99(5):406-10. doi: 10.1007/BF03405251.

DOI:10.1007/BF03405251
PMID:19009927
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6976131/
Abstract

OBJECTIVE

Despite the wealth of studies investigating methods of committing suicide, very few studies have been undertaken in which the focus has been placed on the long-term trend in suicide methods. The aim of this study is therefore to examine the changes in suicide methods in Taiwan.

METHODS

Our study uses 1995-2004 'cause of death' data, obtained from the Department of Health in Taiwan, to explore the trend in suicide methods among different age and gender groups. The autoregressive integrated moving average model is applied to examine the change in suicide methods among 25,062 suicide deaths during the ten-year study period.

RESULTS

Dramatic rises were identified in the proportions of suicides committed by poisoning by means of gases and vapors (both p < 0.001) in the <34 and 35-64 years age groups between 1995 and 2004, as compared to steady declines in the proportions of suicides committed by hanging, strangulation or suffocation, and poisoning by solid or liquid substances (all p < 0.001). However, for the >64 years age group, the proportions remained steady throughout the study period for all suicide methods, with the one exception of jumping from heights.

CONCLUSIONS

Poisoning by gases and vapors is identified as being an increasingly popular method of committing suicide in Taiwan among both genders under the age of 65 years.

摘要

目的

尽管有大量研究探讨自杀方法,但很少有研究关注自杀方法的长期趋势。因此,本研究旨在探讨台湾自杀方法的变化。

方法

我们的研究使用了1995 - 2004年台湾卫生署提供的“死因”数据,以探究不同年龄和性别群体中自杀方法的趋势。应用自回归积分滑动平均模型来检验十年研究期间25,062例自杀死亡案例中自杀方法的变化。

结果

与上吊、勒颈或窒息以及固体或液体物质中毒自杀比例的稳步下降(均p < 0.001)相比,1995年至2004年间,34岁以下和35 - 64岁年龄组中通过气体和蒸汽中毒自杀的比例显著上升(均p < 0.001)。然而,对于64岁以上年龄组,除高处跳下外,所有自杀方法的比例在整个研究期间保持稳定。

结论

在台湾,气体和蒸汽中毒被确定为65岁以下男女中越来越流行的自杀方法。

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本文引用的文献

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Predicting and preventing suicide: do we know enough to do either?预测与预防自杀:我们对此了解得足够多并能做到其中任何一点吗?
Harv Rev Psychiatry. 2006 Sep-Oct;14(5):233-40. doi: 10.1080/10673220600968662.
2
Association between the accessibility to lethal methods and method-specific suicide rates: An ecological study in Taiwan.致死方法的可及性与特定方法的自杀率之间的关联:一项台湾地区的生态学研究。
J Clin Psychiatry. 2006 Jul;67(7):1074-9. doi: 10.4088/jcp.v67n0709.
3
Trends in suicide in a Lithuanian urban population over the period 1984-2003.1984年至2003年期间立陶宛城市人口的自杀趋势。
BMC Public Health. 2006 Jul 13;6:184. doi: 10.1186/1471-2458-6-184.
4
Charcoal burning is also popular for suicide pacts made on the internet.烧炭自杀在网上达成的自杀协议中也很常见。
BMJ. 2005 Mar 12;330(7491):602. doi: 10.1136/bmj.330.7491.602-b.
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Youth risk behavior survey: Bangkok, Thailand.青少年风险行为调查:泰国曼谷
J Adolesc Health. 2005 Mar;36(3):227-35. doi: 10.1016/j.jadohealth.2004.01.013.
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Suicide pacts and the internet.自杀协议与互联网。
BMJ. 2004 Dec 4;329(7478):1298-9. doi: 10.1136/bmj.329.7478.1298.
7
Trends in suicide in Scotland 1981 - 1999: age, method and geography.1981 - 1999年苏格兰的自杀趋势:年龄、方式和地域
BMC Public Health. 2004 Oct 20;4:49. doi: 10.1186/1471-2458-4-49.
8
Suicide in Hong Kong: epidemiological profile and burden analysis, 1981 to 2001.香港的自杀情况:1981年至2001年的流行病学概况与负担分析
Hong Kong Med J. 2003 Dec;9(6):419-26.
9
Do means matter?: Differences in characteristics of Finnish suicide completers using different methods.自杀方式重要吗?芬兰不同自杀方式完成者的特征差异
J Nerv Ment Dis. 2003 Nov;191(11):745-50. doi: 10.1097/01.nmd.0000095127.16296.c1.
10
Trends in mortality from suicide, 1965-99.1965年至1999年自杀死亡率趋势。
Acta Psychiatr Scand. 2003 Nov;108(5):341-9. doi: 10.1034/j.1600-0447.2003.00147.x.