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[南斯拉夫的自杀流行病学——方法学问题]

[Epidemiology of suicide in Yugoslavia--methodological questions].

作者信息

Milcinski L, Mrevlje G

机构信息

Slovenacka akademija znanosti i umetnosti, Ljubljana.

出版信息

Med Pregl. 1990;43(11-12):453-6.

PMID:2092176
Abstract

This study deals with, what could be called the "Yugoslav suicide paradox", namely the fact that such a regional variety of suicide incidence can be observed on the comparatively small territory of Yugoslavia. The northern areas--Slovenia, Croatia and Vojvodina--show very high suicide rates, which surpass even the average of Northern and Central Europe--the cauldron of the highest suicide rates in the world (e.g. Slovenia = 32.7 in 1982). Towards the south and the east, the incidence of suicide is rapidly declining, so that the rates in Kosovo and Macedonia even amount to below the smallest European numbers concerned (e.g. Kosovo = 2.4 in 1982). Obviously, the "Yugoslav suicide paradox" can be suitably investigated only with a transcultural approach. The second postulaten in the designing of suicidal research in Yugoslavia as a whole, and it probably applies to suicidology in general, is the need for interdisciplinarity, since the most convincing answers to the questions which the epidemiology of suicide is raising, do not come from the side of medicine and biology, but still out of the facts disclosed by the socio-cultural and psycho-social circumstances in which the people are living. The study tries to illustrate this thesis with some demographical facts concerning four Yugoslav republics, resp. the autonomous provinces. The necessity for the replenishment of statistical and sociological statements with psycho-dynamically accentuated "psychological autopsies" (Sheidman), is also emphasized.

摘要

本研究探讨了所谓的“南斯拉夫自杀悖论”,即在南斯拉夫相对较小的领土上可观察到自杀发生率的这种地区差异这一事实。北部地区——斯洛文尼亚、克罗地亚和伏伊伏丁那——自杀率极高,甚至超过了北欧和中欧的平均水平,而北欧和中欧是世界上自杀率最高的地区(例如,1982年斯洛文尼亚为32.7)。往南和往东,自杀发生率迅速下降,以至于科索沃和马其顿的自杀率甚至低于欧洲最低的相关数字(例如,1982年科索沃为2.4)。显然,只有采用跨文化方法才能对“南斯拉夫自杀悖论”进行恰当的研究。在设计整个南斯拉夫自杀研究时的第二个假定,而且这可能普遍适用于自杀学,就是需要跨学科性,因为自杀流行病学提出的问题最有说服力的答案并非来自医学和生物学领域,而是来自人们生活的社会文化和心理社会环境所揭示的事实。该研究试图用关于四个南斯拉夫共和国及自治省的一些人口统计学事实来说明这一论点。同时也强调了用心理动力学强调的“心理解剖”(谢德曼)来补充统计和社会学陈述的必要性。

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