Brown Sabrina, Seals Jacqueline
Department of Epidemiology, University of Kentucky, Kentucky Violent Death Reporting System, Kentucky, USA. Email:
J Inj Violence Res. 2019 Jan;11(1):53-64. doi: 10.5249/jivr.v11i1.997. Epub 2019 Jan 13.
Suicide consistently ranks in the top ten causes of death nationally. The purpose of this study was to develop a novel coding scheme to determine what percentage of suicide cases from 2005-2015 in Kentucky involved violence when intimate partner problems were identified. Currently, researchers using the national dataset, containing these data, only have the option to identify intimate partner problems unless each case is reviewed individually.
Data from the Kentucky Violent Death Reporting System from 2005-2015 were used to create a subset of cases where intimate partner problems were identified and qualitative and quantitative analysis of the death scene investigation incident narratives was conducted to identify cases where intimate partner violence also contributed to the suicide.
Intimate partner problems were identified in 1,327 (26%) of all suicide cases where circumstances were known and intimate partner violence in 575 (43%) cases identified as having intimate partner problems. There was an argument or fight in 30% of cases where intimate partner problems were identified and most were immediately followed by the suicide.
We did find supporting evidence of our hypothesis that there is a great deal of underlying and outright violence in intimate relationships, which is exacerbating the risk of suicide. This detailed coding schema guided abstractors to better identify intimate partner violence in suicides, which could be easily replicated.
自杀一直位列全国十大死因。本研究的目的是开发一种新颖的编码方案，以确定2005年至2015年肯塔基州自杀案例中，当识别出亲密伴侣问题时，涉及暴力行为的案例所占百分比。目前，使用包含这些数据的国家数据集的研究人员，除非对每个案例进行单独审查，否则只能选择识别亲密伴侣问题。
使用2005年至2015年肯塔基州暴力死亡报告系统的数据，创建一个识别出亲密伴侣问题的案例子集，并对死亡现场调查事件叙述进行定性和定量分析，以确定亲密伴侣暴力也导致自杀的案例。
在所有已知情况的自杀案例中，有1327例（26%）识别出亲密伴侣问题，在被确定存在亲密伴侣问题的案例中，有575例（43%）存在亲密伴侣暴力。在识别出亲密伴侣问题的案例中，30%发生过争吵或打斗，且大多数紧接着就发生了自杀。
我们确实找到了支持我们假设的证据，即亲密关系中存在大量潜在的和直接的暴力行为，这正在加剧自杀风险。这种详细的编码模式指导摘要撰写人员更好地识别自杀案例中的亲密伴侣暴力行为，且该模式易于复制。
