Department of Experimental and Clinical Pharmacology, Medical University of Warsaw, Banacha 1b Street, 02097 Warsaw, Poland.
Department of Disaster Medicine, Medical University of Warsaw, Żwirki i Wigury 61 Street, 02091 Warsaw, Poland.
Int J Environ Res Public Health. 2019 Aug 6;16(15):2806. doi: 10.3390/ijerph16152806.
Suicide is one of the most frequent causes of death. According to the World Health Organization (WHO), each year, over eight hundred thousand people worldwide die as a result of suicide. The most common risk factors for suicide are depressive disorders and alcohol dependence. Alcohol can directly influence a decision about suicide, or be a factor facilitating this decision. The aim of the study was to analyse the seasonality of suicides among persons under the influence of alcohol.
Data for analysis were obtained from the Department of Forensic Medicine (DFM) of the Medical University of Warsaw. A retrospective analysis was performed on 317 victims of suicides by hanging, those which were entered into the registry of deaths kept by the DFM in the years 2009-2013. The analysis took into account the age and sex of victims, initial cause of death, date of post-mortem examination, autopsy result and alcohol concentration in the blood or muscles of the victims. Statistical analysis was performed using IBM SPSS Statistics version 20.
In the analysis, a spring peak of suicides was found for men, and an autumn peak was revealed for women. In addition, a significant correlation was observed between the age of victims and the concentration of alcohol; the older the victims, the higher the alcohol concentration. However, this correlation was reported only in the spring months.
The results of the analysis seem to be consistent with seasonal patterns observed in other studies, and they indicate the occurrence of suicide seasonality. In order to improve the strategies of suicide prevention, it is necessary to identify factors which are related to the seasonal variation of suicidal behaviours, as well as to gain knowledge about the mechanisms behind this phenomenon.
自杀是最常见的死因之一。根据世界卫生组织(WHO)的数据,全球每年有超过 80 万人因自杀而死亡。自杀的最常见风险因素是抑郁障碍和酒精依赖。酒精可以直接影响自杀决定,也可以成为促成这一决定的因素。本研究的目的是分析处于酒精影响下的自杀者的季节性。
分析数据来自华沙医科大学法医系(DFM)。对 2009 年至 2013 年期间 DFM 死亡登记册中记录的 317 名上吊自杀受害者进行了回顾性分析。分析考虑了受害者的年龄和性别、初始死因、尸检日期、尸检结果以及受害者血液或肌肉中的酒精浓度。统计分析使用 IBM SPSS Statistics 版本 20 进行。
在分析中,发现男性自杀有春季高峰,女性自杀有秋季高峰。此外,还观察到受害者年龄与酒精浓度之间存在显著相关性;受害者年龄越大,酒精浓度越高。然而,这种相关性仅在春季月份报告。
分析结果似乎与其他研究中观察到的季节性模式一致,并表明存在自杀季节性。为了改进自杀预防策略,有必要确定与自杀行为季节性变化相关的因素,并了解这种现象背后的机制。