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经合组织29个国家10至19岁青少年自杀率的比较研究。

A Comparative Study of Suicide Rates among 10-19-Year-Olds in 29 OECD Countries.

作者信息

Roh Beop-Rae, Jung Eun Hee, Hong Hyun Ju

机构信息

Hallym University Suicide and School Mental Health Institute, Anyang, Republic of Korea.

Mental Health and Communal Society Research Center, Kwangwoon University, Seoul, Republic of Korea.

出版信息

Psychiatry Investig. 2018 Apr;15(4):376-383. doi: 10.30773/pi.2017.08.02. Epub 2018 Feb 28.

Abstract

OBJECTIVE

This study had two main objectives: to compare current suicide rates in OECD countries among 10-19-year-olds and to identify patterns of suicide rates based on age, gender and time. Furthermore we investigated the main dimensions that contributed to the variation in child and adolescent suicide rates across countries.

METHODS

We combined the WHO mortality data and the population data released by OECD to calculate the suicide rates in 29 OECD countries. A self-organizing map (SOM), k-means clustering analysis, and multi-dimensional scaling were used to classify countries based on similarities in suicide rate structure and to identify the important dimensions accounting for differences among groups.

RESULTS

We identified significant differences in suicide rates depending on age, sex, country, and time period. Late adolescence and male gender were universal risk factors for suicide, and we observed a general trend of declining suicide rates in OECD countries. The SOM analysis yielded eight types of countries. Most countries showed gender gaps in suicide rates of similar magnitudes; however, there were outliers in which the gender gap was particularly large or small.

CONCLUSION

Significant variation exists with respect to suicide rates and their associated gender gaps in OECD countries.

摘要

目的

本研究有两个主要目标:比较经合组织国家10至19岁人群当前的自杀率,并根据年龄、性别和时间确定自杀率模式。此外,我们还调查了导致各国儿童和青少年自杀率差异的主要因素。

方法

我们将世界卫生组织的死亡率数据与经合组织发布的人口数据相结合,以计算29个经合组织国家的自杀率。使用自组织映射(SOM)、k均值聚类分析和多维标度法,根据自杀率结构的相似性对各国进行分类,并确定导致各组之间差异的重要因素。

结果

我们发现自杀率在年龄、性别、国家和时间段方面存在显著差异。青春期后期和男性是自杀的普遍危险因素,并且我们观察到经合组织国家自杀率总体呈下降趋势。SOM分析产生了八种类型的国家。大多数国家的自杀率性别差距幅度相似;然而,存在一些异常值,其中性别差距特别大或特别小。

结论

经合组织国家的自杀率及其相关的性别差距存在显著差异。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c112/5912485/0db7c52fb865/pi-2017-08-02f1.jpg

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