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土耳其埃斯基谢希尔的老年人自杀情况。

Elderly suicide in Eskisehir, Turkey.

作者信息

Karbeyaz Kenan, Çelikel Adnan, Emiral Emrah, Emiral Gülsüm Öztürk

机构信息

Eskişehir Osmangazi University Faculty of Medicine Department of Forensic Medicine, Eskisehir, Turkey.

Mustafa Kemal University Faculty of Medicine Department of Forensic Medicine, Hatay, Turkey.

出版信息

J Forensic Leg Med. 2017 Nov;52:12-15. doi: 10.1016/j.jflm.2017.06.004. Epub 2017 Jun 27.

Abstract

Old age should be examined separately from other stages of life in terms of ratio, method and motives for suicide. With some variation, epidemiological studies suggest suicides increase with age in virtually every society. This study examines demographic data (age, sex and marital status), and other factors related to 20-years (1997-2016) of completed elder suicides in Eskisehir, Turkey. The 74 cases of those 65 and over were evaluated with regard to method, tool and location of the suicide. Annual distributions illustrate gradual increases in this fatal self-harm over time. The vast majority of cases were male (74.3%), compared to female (25.6%). Elders in the 80-84 age range were most likely to kill themselves. Deaths were frequently caused by hanging, followed by other methods and took place in the home. Reasons associated with suicidal behavior included despair as a result of bereavement, mental illnesses, chronic physical conditions and living alone. The researchers cite potential prevention strategies through the use of early mental health treatment for elders, along with inclusion in social services and activities.

摘要

在自杀的比例、方式和动机方面,老年期应与生命的其他阶段分开审视。尽管存在一些差异,但流行病学研究表明,几乎在每个社会中,自杀率都随年龄增长而上升。本研究调查了土耳其埃斯基谢希尔地区20年(1997年至2016年)间老年自杀者的人口统计学数据(年龄、性别和婚姻状况)以及其他相关因素。对65岁及以上的74例自杀案例进行了自杀方式、工具和地点方面的评估。年度分布情况表明,这种致命的自我伤害行为随时间逐渐增加。绝大多数案例为男性(74.3%),女性占比为25.6%。80 - 84岁年龄段的老年人自杀可能性最高。死亡原因多为上吊,其次是其他方式,且自杀多发生在家中。与自杀行为相关的原因包括因丧亲而绝望、精神疾病、慢性身体疾病以及独居。研究人员提出了一些潜在的预防策略,包括对老年人进行早期心理健康治疗,以及让他们融入社会服务和活动。

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