Kułaga Zbigniew, Napieralska Ewelina, Gurzkowska Beata, Grajda Aneta
Zakład Zdrowia Publicznego Instytutu Pomnik-Centrum Zdrowia Dziecka.
Przegl Epidemiol. 2010;64(4):551-6.
The purpose of the study was to examine children and adolescents sex- and age-specific trends in mortality due to suicide, undetermined death and poisoning from 1999 to 2007 in Poland.
Anonymous deaths records were obtained from the Central Statistical Office and grouped according to the cause of death, age and sex. For each year and separately for 3-Year Moving Averages suicide and poisoning+undetermined death mortality rates were calculated. Time trends were analyzed by linear regression estimating annual percent change (APC) of the rates. Correlation between suicide and grouped poisoning and undetermined death was examined.
A significant increase was observed in girls aged 10-14 years suicide mortality (APC=17,0; p<0,05). Mortality due to suicide did not change significantly from 1999 to 2007 in boys aged 10-14 and 15-19 years, and girls 15-19 years of age. In these groups negative correlation between suicides and grouped poisoning and undetermined death was observed which may indicate hidden suicide in this category of death causes.
Monitoring suicide mortality should include observation of trends in undetermined death.
本研究旨在调查1999年至2007年波兰儿童和青少年因自杀、死因不明及中毒导致的按性别和年龄划分的死亡率趋势。
从中央统计局获取匿名死亡记录，并根据死因、年龄和性别进行分组。计算每年以及分别按3年移动平均值计算的自杀和中毒+死因不明死亡率。通过线性回归分析时间趋势，估计死亡率的年度百分比变化（APC）。研究自杀与分组的中毒及死因不明之间的相关性。
观察到10至14岁女孩的自杀死亡率显著上升（APC = 17.0；p < 0.05）。1999年至2007年，10至14岁和15至19岁男孩以及15至19岁女孩的自杀死亡率没有显著变化。在这些组中，观察到自杀与分组的中毒及死因不明之间存在负相关，这可能表明在这类死亡原因中存在隐藏的自杀情况。
自杀死亡率监测应包括对死因不明趋势的观察。
