Gao X, Jin Y, Wang Y, Ye P P, Duan L L
National Center for Non-communicable Disease Control and Prevention, China Center for Disease Prevention and Control, Beijing 100050, China.
Zhonghua Yu Fang Yi Xue Za Zhi. 2019 Sep 6;53(9):885-890. doi: 10.3760/cma.j.issn.0253-9624.2019.09.004.
To describe the epidemiological characteristics of suicide death and self-harm/suicide in China from 2006 to 2016. Data in this study are from the datasets of National Death Cause Surveillance from 2006 to 2016 and the National Injury Surveillance Dataset 2016. The age-standardized death rate based on the population census in 2000 was used to describe the trend of suicide over years. This study also described the epidemiological characteristics of suicide death and the demographic characteristics, suicide methods and severity of patients who sought medical help after committing suicide or self-inflicted injury in 2016. Age-standardized suicide mortality had been declining from 9.23/100 000 in 2006 to 5.33/100 000 in 2016 by 42.25%. Suicide mortality increased with age. In 2016, the suicide mortality in China was 7.05/100 000, and among people over 85 years old was 49.49/100 000. In 2016, the dominant two suicide methods were poisoning (39.12%) and sharp injury (25.62%). The first leading method of suicide in rural population, urban population and young people aged 10-to 17-year-old was poisoning (65.13%), sharp injury (29.90%) and fall (25.47%), respectively. As age increased, the severity of suicide/self-inflicted injury increased. The proportions of serious cases among young people aged 10-to 17-year-old and older people aged 60 years old and above who sought medical help after committing suicide or self-inflicted injury were 4.88% and 26.86%, respectively. China's suicide mortality has been declining and special attention should be given to the suicide of old people.
描述2006年至2016年中国自杀死亡及自我伤害/自杀的流行病学特征。本研究数据来自2006年至2016年全国死因监测数据集以及2016年全国伤害监测数据集。采用基于2000年人口普查的年龄标准化死亡率来描述多年来自杀趋势。本研究还描述了2016年自杀死亡的流行病学特征以及自杀或自我伤害后寻求医疗帮助患者的人口统计学特征、自杀方式和严重程度。年龄标准化自杀死亡率从2006年的9.23/10万下降至2016年的5.33/10万,降幅达42.25%。自杀死亡率随年龄增长而上升。2016年,中国自杀死亡率为7.05/10万,85岁以上人群中为49.49/10万。2016年,主要的两种自杀方式为中毒(39.12%)和锐器伤(25.62%)。农村人口、城市人口以及10至17岁青少年的首要自杀方式分别为中毒(65.13%)、锐器伤(29.90%)和坠楼(25.47%)。随着年龄增长,自杀/自我伤害的严重程度增加。10至17岁青少年以及60岁及以上老年人自杀或自我伤害后寻求医疗帮助的严重病例比例分别为4.88%和26.86%。中国自杀死亡率一直在下降,应特别关注老年人自杀问题。