Dedić Gordana
Vojnosanit Pregl. 2014 Mar;71(3):265-70. doi: 10.2298/vsp1403265d.
BACKGROUND/AIM: The complex multifactorial etiology of suicide suggests the need to consider gender differences when developing effective strategies for suicide prevention. The aim of this study was to examine the suicide rates and/or trends obtained for population as a whole, including gender differences in cases of committed suicide and to consider factors (age groups, education, employment, marital status, nationality and methods) associated with it in Serbia within the period 2006-2010.
Data were obtained from the Statistical Office of the Republic of Serbia. Their classification related to the suicide method was carried out on the basis of ICD-X Code, WHO 1992 (Intemational Statistical Classification of Diseases and Related Health Problems 10th revision, World Health Organizaion). Statistical analysis was done by using the crude specific suicide rate.
Within the period 2006-2010 the total number of suicides in Serbia was 6,673, of which 71.9% were males and 28.1% females (male to female suicide ratio 2.56 : 1). Their average rate was 18.15 per 100,000 persons, namely, 26.85 per 100,000 for males and 9.92 per 100,000 for females. Suicide was most often committed by married males and females with high school education, retired, by the Serbs. The suicide rate in Serbia increased paralelly with the age of suicide committers and it was the highest in subjects of both genders aged over 75 years. The most common suicide method in males (62.78%) and in females (58.38%) was hanging and strangling. The second most common method in males was by firearm (18.65%) and in females poisoning (19.26%).
Suicide prevention Programme should be primarily oriented toward the male population because it is more exposed to stress in the period of social transition, but males are still less ready to ask for doctor's help when having some problems with mental health.
背景/目的:自杀的病因复杂且涉及多因素,这表明在制定有效的自杀预防策略时需要考虑性别差异。本研究的目的是调查塞尔维亚2006 - 2010年期间总体人群的自杀率和/或趋势,包括自杀案例中的性别差异,并考虑与之相关的因素(年龄组、教育程度、就业情况、婚姻状况、国籍和自杀方法)。
数据来自塞尔维亚共和国统计局。依据世界卫生组织1992年的《国际疾病分类第10版》(ICD - X编码)对自杀方法进行分类。采用粗自杀率进行统计分析。
2006 - 2010年期间,塞尔维亚自杀总人数为6673人,其中男性占71.9%,女性占28.1%(男女自杀比例为2.56 : 1)。平均自杀率为每10万人中有18.15人自杀,即男性为每10万人中有26.85人自杀,女性为每10万人中有9.92人自杀。自杀者多为已婚、受过高中教育、退休的塞尔维亚男性和女性。塞尔维亚的自杀率随自杀者年龄增长而上升,75岁以上的男女自杀率最高。男性(62.78%)和女性(58.38%)最常见的自杀方法是上吊和勒颈。男性第二常见的自杀方法是使用火器(18.65%),女性是中毒(19.26%)。
自杀预防计划应主要针对男性群体,因为在社会转型期男性面临更多压力,但在心理健康出现问题时,男性仍不太愿意寻求医生帮助。