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对比亚韦斯托克医科大学法医学系尸检档案中的自杀案例分析(2003年至2015年)。

Analysis of suicide cases in post-mortem examination files of the Department of Forensic Medicine at the Medical University of Białystok (2003 to 2015).

作者信息

Janica Maciej, Szeremeta Michał, Bondar Anna, Lomperta Karolina, Drobuliakova Petra, Niemcunowicz-Janica Anna

出版信息

Arch Med Sadowej Kryminol. 2017;67(1):1-15. doi: 10.5114/amsik.2017.70334.

DOI:10.5114/amsik.2017.70334
PMID:28972355
Abstract

Aim of the study: The study presents the analysis of suicides based on the material consisting of the results of medico-legal autopsies and case files of the Department of Forensic Medicine of the Medical University of Bialystok. Material and methods: The material consisted of 6752 protocols of medico-legal autopsies carried out in the years 2003-2015 and case files, which enabled to classify cases as suicidal. The analysis included the dynamics of suicides over the years, basic demographic characteristics of victims, the ways, the time and place of suicide, the state of sobriety, the frequency of injuries in different regions of the body. The data were analyzed statistically using tests such as: Shapiro-Wilk test, Mann-Whitney U test, nonparametric Kruskal-Wallis test by programme Statistica 10.0 by StatSoft. Results: The research showed that suicides represented 11.09% of all post-mortem examinations. A statistically significant association was found between the age of the person committing suicide and the place chosen for suicide (p = 0.038). Post hoc analysis demonstrated statistically significant differences (p = 0.046) between suicide committed outdoors and in the supervised area. There was a statistically significant association between the sex and the preferable place of committing suicide (p = 0.0001). A high percentage of suicides were committed in the place of residence. There was a statistically significant difference in blood alcohol levels in women and in men at the time of suicide (p = 0.0029). Conclusions: The study revealed the increase of the percentage of suicides in relation to previous years. Hanging is still the most popular method of suicide.

摘要

研究目的

本研究基于比亚韦斯托克医科大学法医学系的法医尸检结果和案件档案材料,对自杀情况进行分析。

材料与方法

材料包括2003年至2015年进行的6752份法医尸检报告及案件档案,这些材料能够将案件归类为自杀。分析内容包括多年来自杀的动态变化、受害者的基本人口统计学特征、自杀方式、时间和地点、清醒状态、身体不同部位受伤频率。使用StatSoft公司的Statistica 10.0软件,通过夏皮罗-威尔克检验、曼-惠特尼U检验、非参数克鲁斯卡尔-沃利斯检验等对数据进行统计分析。

结果

研究表明,自杀占所有尸检的11.09%。发现自杀者的年龄与自杀地点之间存在统计学显著关联(p = 0.038)。事后分析表明,户外自杀和监管区域内自杀之间存在统计学显著差异(p = 0.046)。性别与自杀倾向地点之间存在统计学显著关联(p = 0.0001)。很大比例的自杀发生在居住地。自杀时女性和男性的血液酒精水平存在统计学显著差异(p = 0.0029)。

结论

研究显示,与前几年相比,自杀百分比有所上升。上吊仍是最常见的自杀方式。

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