死后体内药物情况及暴力自杀方式
Postmortem Presence of Drugs and Method of Violent Suicide.
作者信息
Sheehan Connor M, Rogers Richard G, Boardman Jason D
机构信息
University of Texas at Austin.
University of Colorado Boulder.
出版信息
J Drug Issues. 2015 Jul;45(3):249-262. doi: 10.1177/0022042615580988. Epub 2015 Apr 29.
Abstract
The link between substance use and suicide is well established. However, little research analyzes how substance use is related to the method of suicide. This paper analyzes how specific drugs are associated with method of suicide, a critical topic because drug use bears on the etiology of suicide and may lead to policies aimed at deterring suicide. We use the COVDRS and logistic regression to examine postmortem presence of drugs among 3,389 hanging and firearm suicides in Colorado from 2004-2009. Net of demographic controls, we find that opiates are positively associated with firearms (OR: 1.92, 95% L: 1.27, 95% U: 2.86]) while antidepressants are positively associated with hanging (OR: 1.45, 95% L: 1.04, 95% U: 2.03). For cocaine and opiates, the association between drug use and violent method vary by educational attainment. Importantly, knowledge of the presence and type of specific drug is strongly associated with the method of suicide.
摘要
物质使用与自杀之间的联系已得到充分证实。然而，很少有研究分析物质使用与自杀方式之间的关系。本文分析了特定药物与自杀方式之间的关联，这是一个关键话题，因为药物使用与自杀病因相关，且可能催生旨在阻止自杀的政策。我们利用科罗拉多州过量死亡报告系统（COVDRS）和逻辑回归分析了2004年至2009年间科罗拉多州3389例上吊和枪击自杀案例中死者体内的药物情况。在控制了人口统计学因素后，我们发现阿片类药物与枪击自杀呈正相关（比值比：1.92，95%置信区间下限：1.27，95%置信区间上限：2.86），而抗抑郁药与上吊自杀呈正相关（比值比：1.45，95%置信区间下限：1.04，95%置信区间上限：2.03）。对于可卡因和阿片类药物，药物使用与暴力自杀方式之间的关联因受教育程度而异。重要的是，特定药物的存在及类型与自杀方式密切相关。
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本文引用的文献
1
Deaths: preliminary data for 2011.死亡情况：2011年初步数据。
Natl Vital Stat Rep. 2012 Oct 10;61(6):1-51.
2
Deaths: final data for 2010.死亡情况：2010年最终数据。
Natl Vital Stat Rep. 2013 May 8;61(4):1-117.
3
Association between suicide method, and gender, age, and education level in Iran over 2006-2010.伊朗 2006-2010 年间自杀方法与性别、年龄和教育水平的关系。
Asia Pac Psychiatry. 2014 Mar;6(1):18-22. doi: 10.1111/appy.12097. Epub 2013 Aug 22.
4
Acute use of alcohol and methods of suicide in a US national sample.美国全国样本中急性酒精使用与自杀方法。
Am J Public Health. 2014 Jan;104(1):171-8. doi: 10.2105/AJPH.2013.301352. Epub 2013 May 16.
5
Acute alcohol intoxication and suicide among United States ethnic/racial groups: findings from the national violent death reporting system.美国不同种族/民族群体的急性酒精中毒与自杀：来自国家暴力死亡报告系统的数据。
Alcohol Clin Exp Res. 2013 May;37(5):839-46. doi: 10.1111/acer.12038. Epub 2013 Feb 5.
6
Increase in suicide by hanging/suffocation in the U.S., 2000-2010.美国 2000-2010 年因上吊/窒息导致的自杀人数增加。
Am J Prev Med. 2013 Feb;44(2):146-9. doi: 10.1016/j.amepre.2012.10.010.
7
Gender differences in the presence of drugs in violent deaths.暴力死亡中药物存在的性别差异。
Addiction. 2013 Mar;108(3):547-55. doi: 10.1111/j.1360-0443.2012.04098.x. Epub 2012 Nov 1.
8
Leading causes of unintentional and intentional injury mortality: United States, 2000-2009.导致美国 2000-2009 年非故意伤害和故意伤害死亡的主要原因。
Am J Public Health. 2012 Nov;102(11):e84-92. doi: 10.2105/AJPH.2012.300960. Epub 2012 Sep 20.
9
Acute alcohol intoxication and suicide: a gender-stratified analysis of the National Violent Death Reporting System.急性酒精中毒与自杀：国家暴力死亡报告系统的性别分层分析。
Inj Prev. 2013 Feb;19(1):38-43. doi: 10.1136/injuryprev-2012-040317. Epub 2012 May 24.
10
The Colorado Violent Death Reporting System (COVDRS): validity and utility of the Veteran status variable.科罗拉多暴力死亡报告系统（COVDRS）：退伍军人身份变量的有效性和实用性。
Public Health Rep. 2012 May-Jun;127(3):304-9. doi: 10.1177/003335491212700310.
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