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2008 - 2009年,格陵兰努克地区女性中药物诱发自杀未遂的高患病率。

High prevalence of medicine-induced attempted suicides among females in Nuuk, Greenland, 2008-2009.

作者信息

Bloch Lars Heymann, Drachmann Gitte Hansen, Pedersen Michael Lynge

机构信息

Dronning Ingrids Hospital, Nuuk, Greenland.

出版信息

Int J Circumpolar Health. 2013 Aug 5;72. doi: 10.3402/ijch.v72i0.21687. eCollection 2013.

Abstract

BACKGROUND

The suicide rate in Greenland, especially among men, is among the highest in the world. Attempted suicide rates may be high also. However, the rates of attempted suicide are unknown.

OBJECTIVE

We aimed to estimate the age- and gender-specific incidence of attempted suicide using medicine in Nuuk in 2008-2009.

DESIGN

An observational retrospective study of consecutive medical records on patients admitted to Dronning Ingrids Hospital in Nuuk in 2008-2009 with possible medicine intoxication.

RESULTS

Seventy-four (60 females and 14 men) cases of attempted suicide using medicine were included. Of those, 43 used paracetamol alone or in combination with other medicine. The incidence of attempted suicide using medicine was higher among females than males (p < 0.001). The highest incidence of attempted suicide with paracetamol was found among women aged 20-24 years (0.84%). The highest incidence of suicide with medication (1.31 per 100 inhabitants per year) was among women aged 15-19 years.

CONCLUSIONS

The incidence of attempted suicide using medicine was high in Nuuk, Greenland, especially among women. The highest incidence of suicide attempts with medication was observed among women in the age group 15-19 years (1.31%). This may reflect psychosocial vulnerability among young people in Greenland. Initiatives to improve living conditions for children and adolescents are highly recommended to be initiated immediately.

摘要

背景

格陵兰的自杀率,尤其是男性的自杀率,位居世界前列。自杀未遂率可能也很高。然而,自杀未遂率尚不清楚。

目的

我们旨在估算2008 - 2009年努克地区使用药物自杀未遂的年龄和性别特异性发病率。

设计

对2008 - 2009年入住努克女王英格丽德医院、可能存在药物中毒情况的患者连续病历进行观察性回顾研究。

结果

纳入了74例使用药物自杀未遂的病例(60名女性和14名男性)。其中,43例单独使用对乙酰氨基酚或与其他药物联合使用。使用药物自杀未遂的发病率女性高于男性(p < 0.001)。对乙酰氨基酚自杀未遂的最高发病率出现在20 - 24岁的女性中(0.84%)。药物自杀的最高发病率(每年每100名居民中有1.31例)出现在15 - 19岁的女性中。

结论

在格陵兰的努克,使用药物自杀未遂的发病率很高,尤其是在女性中。在15 - 19岁的女性中观察到药物自杀未遂的最高发病率(1.31%)。这可能反映出格陵兰年轻人的社会心理脆弱性。强烈建议立即采取举措改善儿童和青少年的生活条件。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/949a/3748457/5d6a5b8a0e46/IJCH-72-21687-g001.jpg

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