Laukkala Tanja, Partonen Timo, Marttunen Mauri, Henriksson Markus
Tanja Laukkala, M.D., Ph.D., Chief Psychiatrist, Field Medicine Services Unit, Centre for Military Medicine, Finnish Defence Forces , PO Box 50 FI-00301 Helsinki , Finland.
Nord J Psychiatry. 2014 May;68(4):270-4. doi: 10.3109/08039488.2013.814709. Epub 2013 Aug 19.
Suicide mortality in Finland particularly among young people remains high, compared with other European countries. Suicide is one of the leading causes of death among military conscripts in Finland.
In this record-based study, we investigated characteristics of all 48 suicides among Finnish conscripts during the period 1991-2007.
We collected and analyzed healthcare records during military service and medicolegal investigations (medicolegal autopsy) of suicide victims.
Of the 48 suicides, 36 (75%) were completed during leave days. Shooting, hanging and jumping were the most common methods used; a service gun was used in four (14%) of the 29 shooting cases. One-third of the victims had been in contact with military healthcare during the week preceding their suicide, and two-thirds during the preceding month.
When conscripts use healthcare services, suicidal thoughts should be actively asked of those conscripts with history of any risk factors for suicidal behavior.
与其他欧洲国家相比，芬兰的自杀死亡率，尤其是年轻人中的自杀死亡率仍然很高。自杀是芬兰义务兵死亡的主要原因之一。
在这项基于记录的研究中，我们调查了1991年至2007年期间芬兰义务兵中48起自杀事件的特征。
我们收集并分析了服兵役期间的医疗记录以及自杀受害者的法医学调查（法医尸检）。
在这48起自杀事件中，36起（75%）发生在休假期间。枪击、上吊和跳楼是最常用的方法；在29起枪击事件中，有4起（14%）使用了服役枪支。三分之一的受害者在自杀前一周曾与军队医疗部门接触，三分之二在自杀前一个月内曾与军队医疗部门接触。
当义务兵使用医疗服务时，对于有任何自杀行为危险因素史的义务兵，应积极询问其自杀念头。
