Ekeberg O, Aargaard I
Medisinsk avdeling Ullevål sykehus, Oslo.
Tidsskr Nor Laegeforen. 1991 Feb 20;111(5):562-4.
The suicide rate in Norway among persons older than 15 years has increased from 10/100,000 during the period 1965-67 to 18/100,000 during the period 1985-87. Attention has been focused in particular on the higher rates among young people, and not so much on the rates among the elderly. The suicide rate for males older than 70 years increased by 51% to 27/100,000 in the 20 year period, and is now at the same level as among the age group 20-69 years. The suicide rate for females older than 70 years increased by 68% to 7/100,000 during the same period. The suicide rate for females varies more with age, and is highest (15/100,000) in the age group 50-59. In 1989, 36 patients (75% females) older than 70 years were admitted to the Medical Department. Ullevål sykehus for self-poisoning. This is about twice as many as four years before. The annual rates of self-poisonings were 143/100,000 for females and 93/100,000 for males. The suicidal intention was much higher (61% suicidal attempts) among patients older than 70 years than among persons below this age (15%). In 44% of the cases the main problem preceding the self-poisoning was loneliness and isolation. The toxic agent was usually (56%) benzodiazepine hypnotics. The findings indicate that the suicide rates among the elderly in Norway will continue to increase, at least in the cities, where loneliness and isolation is an increasing problem.
挪威15岁以上人群的自杀率已从1965 - 1967年期间的每10万人中有10例,增至1985 - 1987年期间的每10万人中有18例。人们的注意力尤其集中在年轻人中较高的自杀率上,而对老年人中的自杀率关注较少。70岁以上男性的自杀率在20年期间上升了51%,达到每10万人中有27例,目前与20 - 69岁年龄组的自杀率处于同一水平。70岁以上女性的自杀率在同一时期上升了68%,达到每10万人中有7例。女性的自杀率随年龄变化更大,在50 - 59岁年龄组中最高(每10万人中有15例)。1989年,70岁以上的36名患者(75%为女性)因自我中毒住进了乌尔勒瓦尔医院内科。这一数字约为四年前入院人数的两倍。女性的年度自我中毒率为每10万人中有143例,男性为每10万人中有93例。70岁以上患者的自杀意图(61%为自杀未遂)比该年龄以下人群(15%)高得多。在44%的病例中,自我中毒之前的主要问题是孤独和孤立。中毒剂通常(56%)是苯二氮䓬类催眠药。研究结果表明,挪威老年人的自杀率将继续上升,至少在城市中如此,因为孤独和孤立问题日益严重。