1972年至2011年英格兰和威尔士青少年自杀与意外死亡趋势分析
Analysis of trends in adolescent suicides and accidental deaths in England and Wales, 1972-2011.
作者信息
Redmore James, Kipping Ruth, Trickey Adam, May Margaret T, Gunnell David
机构信息
James Redmore, BSc, MPH, Ruth Kipping, MA(Cantab), MSc, MA(Lond), PhD, FFPH, Adam Trickey, BSc, MSc, Margaret T. May, MA(Cantab), MSc, PhD, David Gunnell, MB ChB, PhD, FFPH, MRCGP, MFPHM, DSc, FMedSci, School of Social and Community Medicine, University of Bristol, Bristol, UK.
James Redmore, BSc, MPH, Ruth Kipping, MA(Cantab), MSc, MA(Lond), PhD, FFPH, Adam Trickey, BSc, MSc, Margaret T. May, MA(Cantab), MSc, PhD, David Gunnell, MB ChB, PhD, FFPH, MRCGP, MFPHM, DSc, FMedSci, School of Social and Community Medicine, University of Bristol, Bristol, UK
出版信息
Br J Psychiatry. 2016 Oct;209(4):327-333. doi: 10.1192/bjp.bp.114.162347. Epub 2016 Jun 9.
BACKGROUND
Previous analyses of adolescent suicides in England and Wales have focused on short time periods.
AIMS
To investigate trends in suicide and accidental deaths in adolescents between 1972 and 2011.
METHOD
Time trend analysis of rates of suicides and deaths from accidental poisoning and hanging in 10- to 19-year-olds by age, gender and deprivation. Rate ratios were estimated for 1982-1991, 1992-2001 and 2002-2011 with 1972-1981 as comparator.
RESULTS
Suicide rates have remained stable in 10- to 14-year-olds, with strong evidence for a reduction in accidental deaths. In males aged 15-19, suicide rates peaked in 2001 before declining. Suicide by hanging is the most common method of suicide. Rates were higher in males and in 15- to 19-year-olds living in more deprived areas.
CONCLUSIONS
Suicide rates in adolescents are at their lowest since the early 1970s with no clear evidence that changes in coroners' practices underlie this trend.
背景
此前对英格兰和威尔士青少年自杀事件的分析集中在较短时间段。
目的
调查1972年至2011年间青少年自杀和意外死亡的趋势。
方法
按年龄、性别和贫困程度对10至19岁青少年的自杀率以及意外中毒和上吊死亡率进行时间趋势分析。以1972 - 1981年为对照，估算1982 - 1991年、1992 - 2001年和2002 - 2011年的率比。
结果
10至14岁青少年的自杀率保持稳定，有充分证据表明意外死亡有所减少。在15至19岁男性中，自杀率在2001年达到峰值后下降。上吊自杀是最常见的自杀方式。男性以及生活在贫困程度较高地区的15至19岁青少年的自杀率更高。
结论
青少年自杀率处于20世纪70年代初以来的最低水平，没有明确证据表明验尸官做法的变化是这一趋势的原因。
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