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南澳大利亚原住民社区自杀的原因。

Causes of community suicides among indigenous South Australians.

作者信息

Austin Amy E, van den Heuvel Corinna, Byard Roger W

机构信息

Discipline of Anatomy and Pathology, Level 3 Medical School North Building, The University of Adelaide, Frome Rd, Adelaide, SA 5005, Australia.

出版信息

J Forensic Leg Med. 2011 Oct;18(7):299-301. doi: 10.1016/j.jflm.2011.06.002. Epub 2011 Jul 22.

DOI:10.1016/j.jflm.2011.06.002
PMID:21907931
Abstract

A retrospective review of suicides occurring among Aboriginal people in the community in South Australia over a 5-year period was undertaken from January 2005 to December 2009. Twenty-eight cases were identified, consisting of 21 males (age range 16-44 years, mean 29.9 years) and 7 females (age range 23-45 years, mean 32.0 years). Deaths in all cases were caused by hanging (100%). Toxicological evaluation of blood revealed alcohol (39.3% of cases), cannabinoids (39.3%), benzodiazepines (10.7%), opiates (7.1%), antidepressants (7.1%), amphetamines (3.6%) and volatiles (3.6%). This study has demonstrated that the method of suicide overwhelmingly preferred by indigenous victims in South Australia is hanging. The precise reasons for this preference are uncertain, however, an indigenous person in South Australia presenting as a suicide where a method other than hanging has been used would be exceedingly uncommon, raising the possibility of alternative manners of death.

摘要

2005年1月至2009年12月,对南澳大利亚社区原住民在5年期间发生的自杀事件进行了回顾性研究。共确定了28例,其中21例为男性(年龄范围16 - 44岁,平均29.9岁),7例为女性(年龄范围23 - 45岁,平均32.0岁)。所有病例均因上吊死亡(100%)。血液毒理学评估显示存在酒精(39.3%的病例)、大麻素(39.3%)、苯二氮䓬类药物(10.7%)、阿片类药物(7.1%)、抗抑郁药(7.1%)、苯丙胺类药物(3.6%)和挥发性物质(3.6%)。该研究表明,南澳大利亚原住民自杀受害者绝大多数首选的自杀方式是上吊。然而,这种偏好的确切原因尚不确定,不过,在南澳大利亚,原住民采用上吊以外的其他方式自杀的情况极为罕见,这增加了存在其他死亡方式的可能性。

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