Linsley Keith R, Schapira Martin A, Schapira Kurt, Lister Clare
Tees, Esk and Wear Valleys NHS Foundation Trust.
Newcastle University.
BJPsych Bull. 2016 Jun;40(3):136-41. doi: 10.1192/pb.bp.114.048884.
Aims and method To ascertain differences in patterns of suicide in young men over three decades (1960s, 1990s and 2000s) and discuss implications for suicide prevention. Data on suicides and open verdicts in men aged 15-34 were obtained from coroner's records in Newcastle upon Tyne and analysed using SPSS software. Results An increase in suicide rates from the first to the second decade was followed by a fall in the third decade. This was associated with an increasing proportion of single men, those living alone, unemployment, consumption of alcohol, use of hanging, previous suicide attempt and history of treatment for mental illness. Clinical implications This study highlights the need for more interventions and focus to be given to young males in the suicide prevention area and is of high importance in the field of public health. Areas that could be tackled include reducing access to means of suicide, reducing alcohol use, support for relationship difficulties, engagement with mental health services and management of chronic illness.
目的与方法 确定三个十年(20世纪60年代、90年代和21世纪00年代)间年轻男性自杀模式的差异,并探讨对自杀预防的启示。从泰恩河畔纽卡斯尔的验尸官记录中获取15至34岁男性的自杀及死因存疑的数据,并使用SPSS软件进行分析。结果 自杀率从第一个十年到第二个十年上升,随后在第三个十年下降。这与单身男性、独居男性、失业、饮酒、采用上吊方式、既往自杀未遂以及有精神疾病治疗史的比例增加有关。临床启示 本研究强调在自杀预防领域需要对年轻男性采取更多干预措施并给予更多关注,在公共卫生领域具有重要意义。可以解决的领域包括减少获取自杀手段的机会、减少饮酒、为关系困扰提供支持、促使人们参与心理健康服务以及慢性病管理。