Matthay Ellicott C, Galin Jessica, Ahern Jennifer
All of the authors are with the Division of Epidemiology, School of Public Health, University of California, Berkeley.
Am J Public Health. 2017 Mar;107(3):427-429. doi: 10.2105/AJPH.2016.303624.
To describe recent trends in suicide throughout California and to compare rates and methods of suicide ("means") across demographic groups.
Data from statewide mortality records were used to estimate age-adjusted rates of suicide from 2005 to 2013, overall and by means, age, gender, race/ethnicity, urbanicity, and county.
The suicide rate increased 12.6% between 2005 and 2013, from 11.2 to 12.6 per 100 000 population, but this overall trend masks substantial heterogeneity across subgroups. In particular, rapid increases were observed for individuals of multiple races/ethnicities. Means of suicide changed, trending away from firearms toward suffocation and drug poisoning.
High-risk groups and means of suicide are changing rapidly in California, so appropriate public health programming should prioritize population-based strategies.
描述加利福尼亚州近期的自杀趋势,并比较不同人口群体的自杀率和自杀方式(“手段”)。
利用全州死亡率记录数据估算2005年至2013年经年龄调整的自杀率,包括总体自杀率以及按自杀方式、年龄、性别、种族/族裔、城市化程度和郡县划分的自杀率。
2005年至2013年间,自杀率上升了12.6%,从每10万人中有11.2例升至12.6例,但这一总体趋势掩盖了各亚组之间的巨大差异。特别是,多个种族/族裔的个体自杀率迅速上升。自杀方式发生了变化,从使用枪支转向窒息和药物中毒。
在加利福尼亚州,高风险群体和自杀方式正在迅速变化,因此适当的公共卫生规划应将基于人群的策略作为优先事项。