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西班牙自杀的流行病学研究和成本分析:100 多年的演变。

Epidemiological Study and Cost Analysis of Suicide in Spain: Over 100 Years of Evolution.

出版信息

Arch Suicide Res. 2020;24(sup2):S356-S369. doi: 10.1080/13811118.2019.1612802. Epub 2019 Jun 7.

Abstract

OBJECTIVE

Society has changed during the last 100 years of evolution; however, some problems, such as suicide, remain. The objective here is to carry out a long-term epidemiological study in Spain, and to calculate the social and labor costs of 2016.

METHOD

Epidemiological data were obtained from official data obtained between 1906 - 2016. The calculation of the costs of suicides included the social costs and the costs of production losses (labor costs). The latter were obtained by the human capital method, taking into account the unemployment rate. The economic growth rate stood at 2.6% per year.

RESULTS

The suicide rate was between 4 and 8% per year. The evolution during these 100 years had three periods. Until 1940 it had slight increases, and then it decreased until 1980 and, subsequently, the rate increased until it reached almost 8% in 2016. The costs of the suicides were 2,167 million € of economic losses for society, or its equivalent of 607 € for suicide.

CONCLUSIONS

Public health policies aimed at the prevention of suicide should be increased, and supported by the economic costs they mean for society.

摘要

目的

在过去 100 年的进化过程中,社会发生了变化;然而,一些问题,如自杀,仍然存在。本研究旨在对西班牙进行一项长期的流行病学研究,并计算 2016 年的社会和劳动力成本。

方法

从 1906 年至 2016 年期间获得的官方数据中获取流行病学数据。自杀成本的计算包括社会成本和生产损失(劳动力成本)。后者通过人力资本法计算,考虑了失业率。经济增长率为每年 2.6%。

结果

自杀率为每年 4%至 8%。这 100 年来的演变经历了三个阶段。在 1940 年之前,自杀率略有上升,然后下降到 1980 年,随后,自杀率上升,直到 2016 年达到近 8%。自杀造成的经济损失为 21.67 亿欧元,相当于每人自杀 607 欧元。

结论

应加强预防自杀的公共卫生政策,并支持其对社会造成的经济成本。

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