Claassen Cynthia A, Carmody Thomas, Bossarte Robert, Trivedi Madhukar H, Elliott Stephen, Currier Glenn W
Department of Psychiatry, University of Texas Southwestern Medical Center, Dallas, TX 75235-9119, USA.
Suicide Life Threat Behav. 2008 Dec;38(6):637-49. doi: 10.1521/suli.2008.38.6.637.
Fatal and nonfatal intentional self-harm events in eight U.S. states were compared using emergency department, hospital, and vital statistics data. Nonfatal event rates increased by an estimated 24.20% over 6 years. Case fatality ratios varied widely, but two northeastern states' total event rates (fatal plus nonfatal) were very high (New Hampshire 206.5/100,000 person years; Massachusetts 166.7/100,000). Geographic context did not uniformly impact the likelihood of self-harm across event types. The state-level public health burden posed by such acts cannot, therefore, be accurately estimated from either mortality or morbidity data alone.
利用急诊科、医院和人口动态统计数据,对美国八个州的致命和非致命故意自伤事件进行了比较。非致命事件发生率在6年期间估计上升了24.20%。病死率差异很大,但两个东北部州的总事件发生率(致命加非致命)非常高(新罕布什尔州为每10万人年206.5起;马萨诸塞州为每10万人年166.7起)。地理环境对各类自伤事件发生可能性的影响并不一致。因此,仅根据死亡率或发病率数据无法准确估计此类行为给州一级带来的公共卫生负担。