University College Dublin, Mater Misericordiae University Hospital, Eccles St., Dublin 7, Ireland.
J Affect Disord. 2012 Feb;136(3):862-7. doi: 10.1016/j.jad.2011.09.020. Epub 2011 Oct 22.
Seasonal influences on suicide have been studied for many years with inconclusive and contradictory findings.
Data on suicide in Ireland from 1980 to 2002 was examined to ascertain the contribution of season and demographic variables to suicide. Using Poisson regression modelling and sinusoidal analysis a small seasonal effect (7% from peak to trough) was identified but age, gender, marital status and residence were much larger contributors. The seasonal contribution increased in the latter half of the period under study. There was also a small seasonal effect for method of suicide. The suicide rate was highest in the 40-44 age group after controlling for confounders.
Because this was an ecological study, information on other possible contributors, such as mental illness was not available.
These findings are discussed in light of international studies. Continuing studies are required to confirm the trend in increasing seasonality in Ireland. Since suicide is highest in those who are middle aged, preventive strategies should be directed to this group.
多年来,人们一直在研究季节性因素对自杀的影响,但研究结果尚无定论,且相互矛盾。
为确定季节和人口统计学变量对自杀的影响,对 1980 年至 2002 年爱尔兰的自杀数据进行了研究。采用泊松回归模型和正弦分析,发现存在较小的季节性影响(从峰值到波谷为 7%),但年龄、性别、婚姻状况和居住地的影响更大。在研究期间的后半段,季节性影响有所增加。自杀方式也存在较小的季节性影响。在控制了混杂因素后,自杀率在 40-44 岁年龄组最高。
由于这是一项生态学研究,因此无法获得其他可能的影响因素(如精神疾病)的信息。
本文结合国际研究讨论了这些发现。需要继续研究以证实爱尔兰季节性趋势的增加。由于自杀风险在中年人群中最高,因此预防策略应针对这一群体。