Psychiatric Services Aargau AG, Teaching Hospital of the University of Zurich, Baden, Switzerland.
Eur Child Adolesc Psychiatry. 2012 Feb;21(2):67-73. doi: 10.1007/s00787-011-0232-y. Epub 2011 Dec 1.
Although relatively rare, suicide is a leading cause of death in children and adolescents in the Western world. This study examined whether children and adolescents are drawn to other methods of suicide than adults. Swiss suicides from 1998 to 2007 were examined. The main methods of suicide were analysed with respect to age and gender. Of the 12,226 suicides which took place in this 10-year period, 333 were committed by children and adolescents (226 males, 107 females). The most prevalent methods of suicide in children and adolescents 0-19 years were hanging, jumping from heights and railway-suicides (both genders), intoxication (females) and firearms (males). Compared to adults, railway-suicides were over-represented in young males and females (both P < .001). Jumping from heights was over-represented in young males (P < .001). Thus, availability has an important effect on methods of suicide chosen by children and adolescents. Restricting access to most favoured methods of suicide might be an important strategy in suicide prevention.
虽然相对较少见，但自杀仍是西方世界儿童和青少年的主要致死原因之一。本研究旨在探究儿童和青少年是否会采用与成年人不同的自杀方式。研究人员分析了瑞士 1998 年至 2007 年间的自杀案例。主要分析了不同年龄和性别的自杀方式。在这 10 年期间，共有 12226 人自杀，其中 333 人为儿童和青少年（226 名男性，107 名女性）。0-19 岁儿童和青少年最常见的自杀方式为上吊、跳楼和卧轨（男女均有）、中毒（女性）和枪击（男性）。与成年人相比，年轻男性和女性更倾向于选择卧轨自杀（均 P <.001）。年轻男性更倾向于选择跳楼自杀（P <.001）。因此，可及性对儿童和青少年选择的自杀方式有重要影响。限制最常采用的自杀方式的可及性可能是预防自杀的重要策略。
