de Castro E F, Pimenta F, Martins I
Miguel Bombarda Hospital, Lisbon, Portugal.
Acta Psychiatr Scand. 1989 Oct;80(4):334-9. doi: 10.1111/j.1600-0447.1989.tb02989.x.
It seems odd that male suicide rates have decreased in Portugal over the last few years, whereas the opposite has happened in most other countries. In order to investigate the reasons for such a decrease, suicide rates were compared with controversial cases (ICD-9 category E 980-989) and with homicide rates. The results show that, since 1980 and coinciding with the use of ICD-9, controversial cases have increased 12 and 21 times among males and females respectively. The profile of controversial cases is similar to that of suicide according to sex, age, marital status and season. Rates for homicide have remained steady and have a distinct profile. It is concluded that since 1980 there has been a significant underreporting of suicides in Portugal, which have been registered as controversial cases. The difficulty of investigating and preventing suicide with such statistical data is stressed; an improvement in suicide reporting and registering is urgently required.
在过去几年里，葡萄牙男性自杀率有所下降，而其他大多数国家的情况却恰恰相反，这似乎有些奇怪。为了探究这种下降的原因，将自杀率与有争议的案例（国际疾病分类第九版E980 - 989类目）以及凶杀率进行了比较。结果显示，自1980年起，与国际疾病分类第九版的使用同步，有争议的案例在男性和女性中分别增加了12倍和21倍。有争议案例的特征在性别、年龄、婚姻状况和季节方面与自杀案例相似。凶杀率保持稳定且有明显特征。得出的结论是，自1980年以来，葡萄牙存在对自杀案例的严重漏报情况，这些案例被登记为有争议的案例。强调了利用此类统计数据调查和预防自杀的困难；迫切需要改进自杀案例的报告和登记工作。
