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[奥地利自杀事件的社会状况。风险因素与保护因素概述]

[Social conditions of suicides in Austria. An overview on risk and protective factors].

作者信息

Watzka Carlos

机构信息

Lehrstuhl für Soziologie und Empirische Sozialforschung, Katholische Universität Eichstätt-Ingolstadt, Ostenstraße 24, 85072, Eichstätt, Deutschland,

出版信息

Neuropsychiatr. 2012;26(3):95-102. doi: 10.1007/s40211-012-0039-1. Epub 2012 Sep 29.

DOI:10.1007/s40211-012-0039-1
PMID:23055302
Abstract

Referring to the 'biopsychosocial' model of health first, the article deals with the relevance of social factors in letal suicidality, giving an overview upon recent research findings specific for the Austrian society. In the beginning, the sociodemographic 'basic variables' of gender, age, marital status, partnership and parenthood are treated: Older men must be seen as a high risk population for suicide here, and married persons still have the lowest relative suicide risks. Regarding social status a study for the region of Styria shows an U-shaped-pattern, the highest suicide rates being situated at the lower end of the occupational prestige scale, amongst factory and unskilled workers, but also within the category of farmers, which is rather heterogeneous in terms of the economic status of its members. Moreover, people without occupation show much higher suicide rates-compared to those, who were economically active, the risk of committing suicide was more than five times higher in the years 2000-2004. After these topics, the suicide-protective consequences of the extension of the supply systems regarding medicine, psychiatry, psychotherapy and psychosocial support, taking place since the late twentieth century, are discussed. Likewise long-term changes in town-village-differences of suicide rates in the context of 'postmodernisation' and the theme of multiple psychosocial problem situations as triggers for suicide are addressed.

摘要

本文首先参照健康的“生物心理社会”模型,探讨社会因素在致命自杀行为中的相关性,并概述奥地利社会的最新研究成果。文章开篇讨论了性别、年龄、婚姻状况、伴侣关系和为人父母等社会人口统计学“基本变量”:老年男性在这里被视为自杀的高危人群,已婚人士的相对自杀风险仍然最低。关于社会地位,施蒂利亚州的一项研究显示出一种U型模式,自杀率最高的人群位于职业声望量表的低端,包括工厂工人和非技术工人,以及农民群体,而农民群体在其成员的经济状况方面相当多样化。此外,与有经济活动的人相比,无业人员的自杀率要高得多,在2000年至2004年期间,无业人员自杀的风险是有经济活动人员的五倍多。在讨论了这些话题之后,文章探讨了自20世纪末以来在药品、精神病学、心理治疗和心理社会支持方面供应体系扩展所带来的自杀预防效果。同样,文章还讨论了在“后现代”背景下城乡自杀率的长期变化,以及多种心理社会问题情境作为自杀诱因的主题。

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本文引用的文献

1
Availability of mental health service providers and suicide rates in Austria: a nationwide study.奥地利精神卫生服务提供者的可及性与自杀率:一项全国性研究。
Psychiatr Serv. 2010 Dec;61(12):1198-203. doi: 10.1176/ps.2010.61.12.1198.
2
Influence of psychotherapist density and antidepressant sales on suicide rates.心理治疗师密度和抗抑郁药物销量对自杀率的影响。
Acta Psychiatr Scand. 2009 Mar;119(3):236-42. doi: 10.1111/j.1600-0447.2008.01314.x. Epub 2008 Dec 4.
3
Rural-urban differences in Austrian suicides.奥地利自杀率的城乡差异。
Soc Psychiatry Psychiatr Epidemiol. 2008 Apr;43(4):311-8. doi: 10.1007/s00127-008-0317-1. Epub 2008 Feb 9.
4
Trends in suicide rates of the elderly in Austria, 1970-2004: an analysis of changes in terms of age groups, suicide methods and gender.1970 - 2004年奥地利老年人自杀率趋势:按年龄组、自杀方式和性别变化进行的分析
Int J Geriatr Psychiatry. 2007 May;22(5):438-44. doi: 10.1002/gps.1695.
5
Suicidality and associated risk factors among lesbian, gay, and bisexual compared to heterosexual Austrian adults.与异性恋奥地利成年人相比,女同性恋、男同性恋和双性恋成年人中的自杀倾向及相关风险因素。
Suicide Life Threat Behav. 2005 Dec;35(6):661-70. doi: 10.1521/suli.2005.35.6.661.
6
Epidemiology of suicide in Austria 1990-2000: general decrease, but increased suicide risk for old men.1990 - 2000年奥地利的自杀流行病学:总体呈下降趋势,但老年男性自杀风险增加。
Wien Klin Wochenschr. 2005 Jan;117(1-2):31-5. doi: 10.1007/s00508-004-0263-1.