Värnik Peeter
Estonian-Swedish Mental Health and Suicidology Institute, Oie 39, Tallinn 11615, Estonia.
Int J Environ Res Public Health. 2012 Mar;9(3):760-71. doi: 10.3390/ijerph9030760. Epub 2012 Mar 2.
Over the past 20 years the WHO has considerably improved world mortality data. There are still shortcomings but more countries now report data and world-wide estimates are regularly made.
Data about mortality have been retrieved from the WHO world database. Worldwide injury mortality estimates for 2008 as well as trends of the suicide rate from 1950 to 2009 were analysed.
Suicides in the world amount to 782 thousand in 2008 according to the WHO estimate, which is 1.4% of total mortality and 15% of injury mortality. The suicide rate for the world as a whole is estimated at 11.6 per 100,000 inhabitants. The male-female rate ratio of suicide is estimated to be highest in the European Region (4.0) and the lowest in the Eastern Mediterranean region (1.1). Among males the highest suicide rate in the 15-29 age group is in the SE Asian region, in the 45-59 age group in European males and for ages above 60 in the Western Pacific region. Females from SE Asia have a remarkably high suicide rate among 15-29-year-olds and from age 45 in the Western Pacific region. The leading country is currently Lithuania, with a suicide rate of 34.1 per 100,000 inhabitants. Also among males the suicide rate is the highest in Lithuania at 61.2. Among females South Korea with 22.1 is at the top of world suicide rates.
During the past six decades, according to the WHO Japan, Hungary, and Lithuania have topped the list of world countries by suicide rate, but if the current trends continue South Korea will overtake all others in a few years. The heart of the problem of suicide mortality has shifted from Western Europe to Eastern Europe and now seems to be shifting to Asia. China and India are the biggest contributors to the absolute number of suicides in the world.
在过去20年里,世界卫生组织(WHO)已大幅改善了全球死亡率数据。尽管仍存在不足,但现在有更多国家报告数据,并且定期进行全球范围的估计。
死亡率数据取自WHO世界数据库。分析了2008年全球伤害死亡率估计以及1950年至2009年自杀率趋势。
根据WHO估计,2008年全球自杀人数达78.2万,占总死亡率的1.4%,占伤害死亡率的15%。全球总体自杀率估计为每10万居民11.6例。自杀的男女比率估计在欧洲区域最高(4.0),在东地中海区域最低(1.1)。在男性中,15 - 29岁年龄组自杀率最高的是东南亚区域,45 - 59岁年龄组是欧洲男性,60岁以上是西太平洋区域。东南亚15 - 29岁女性自杀率显著较高,45岁及以上则是西太平洋区域女性。目前自杀率领先的国家是立陶宛,每10万居民自杀率为34.1。男性自杀率最高的也是立陶宛,为61.2。女性中韩国以22.1位居世界自杀率榜首。
根据WHO数据,在过去六十年里,日本、匈牙利和立陶宛一直是全球自杀率最高的国家,但如果当前趋势持续,韩国几年内将超过其他所有国家。自杀死亡率问题的核心已从西欧转移到东欧,现在似乎正转向亚洲。中国和印度是全球自杀绝对数的最大贡献国。