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2003年至2014年间兽医专业人员的自杀及意图不明的死亡情况。

Suicides and deaths of undetermined intent among veterinary professionals from 2003 through 2014.

作者信息

Witte Tracy K, Spitzer Elizabeth G, Edwards Nicole, Fowler Katherine A, Nett Randall J

出版信息

J Am Vet Med Assoc. 2019 Sep 1;255(5):595-608. doi: 10.2460/javma.255.5.595.

Abstract

OBJECTIVE

To analyze data for death of veterinary professionals and veterinary students, with manner of death characterized as suicide or undetermined intent from 2003 through 2014.

SAMPLE

Death records for 202 veterinary professionals and veterinary students.

PROCEDURES

Decedents employed as veterinarians, veterinary technicians or technologists, or veterinary assistants or laboratory animal caretakers and veterinary students who died by suicide or of undetermined intent were identified through retrospective review of National Violent Death Reporting System records. Standardized mortality ratios (SMRs) and 95% confidence intervals were calculated, and mechanisms and circumstances of death were compared among veterinary occupational groups.

RESULTS

197 veterinary professionals and 5 veterinary students had deaths by suicide or of undetermined intent. Among decedents employed at the time of death, SMRs for suicide of male and female veterinarians (1.6 and 2.4, respectively) and male and female veterinary technicians or technologists (5.0 and 2.3, respectively) were significantly greater than those for the general US population, whereas SMRs for suicide of male and female veterinary assistants or laboratory animal caretakers were not. Poisoning was the most common mechanism of death among veterinarians; the drug most commonly used was pentobarbital. For most (13/18) veterinarians who died of pentobarbital poisoning, the death-related injury occurred at home. When decedents with pentobarbital poisoning were excluded from analyses, SMRs for suicide of male and female veterinarians, but not veterinary technicians or technologists, did not differ significantly from results for the general population.

CONCLUSIONS AND CLINICAL RELEVANCE

Results suggested higher SMRs for suicide among veterinarians might be attributable to pentobarbital access. Improving administrative controls for pentobarbital might be a promising suicide prevention strategy among veterinarians; however, different strategies are likely needed for veterinary technicians or technologists.

摘要

目的

分析2003年至2014年兽医专业人员和兽医学生的死亡数据,死亡方式为自杀或意图不明。

样本

202名兽医专业人员和兽医学生的死亡记录。

程序

通过回顾性审查国家暴力死亡报告系统记录,确定作为兽医、兽医技术员或技术专家、兽医助理或实验动物饲养员以及兽医学生自杀或意图不明死亡的死者。计算标准化死亡率(SMR)和95%置信区间,并比较兽医职业群体之间的死亡机制和情况。

结果

197名兽医专业人员和5名兽医学生自杀或意图不明死亡。在死亡时受雇的死者中,男性和女性兽医(分别为1.6和2.4)以及男性和女性兽医技术员或技术专家(分别为5.0和2.3)的自杀SMR显著高于美国普通人群,而男性和女性兽医助理或实验动物饲养员的自杀SMR则不然。中毒是兽医中最常见的死亡机制;最常用的药物是戊巴比妥。在大多数(13/18)死于戊巴比妥中毒的兽医中,与死亡相关的伤害发生在家中。当将戊巴比妥中毒的死者排除在分析之外时,男性和女性兽医的自杀SMR与普通人群的结果没有显著差异,但兽医技术员或技术专家的自杀SMR则不然。

结论及临床意义

结果表明,兽医自杀的SMR较高可能归因于戊巴比妥的获取。改善戊巴比妥的行政控制可能是兽医中一种有前景的自杀预防策略;然而,兽医技术员或技术专家可能需要不同的策略。

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