Department of Psychiatry, Voluntary Health Services Multi-Specialty Hospital and Research Institute, Chennai, India.
National Suicide Research Foundation, Cork, Ireland.
Crisis. 2020 Mar;41(Suppl 1):S21-S29. doi: 10.1027/0227-5910/a000666.
This chapter provides an update on suicide and suicide prevention in the Southeast Asia Region, which covers 11 low- and middle-income countries, accounting for 26% of the world's population. More than one third (39%) of all suicides globally, occur in this region, with the highest suicide rate of 17.7 per 100,000, which is likely to be an underestimate due to differences in study populations, research methodology, and uncomprehensive data registration systems. The risk profile of people who die by suicide and the characteristics of suicides in Southeast Asia are distinctly different from other regions in many ways. In this region the male-female ratio for suicide is closer to 1, compared with 3:5 in higher-income countries, and the overall reported prevalence of mental disorders, such as depression or other psychiatric conditions, is lower. Both older people and adolescents show the highest rates of suicide. Suicide involving pesticide poisoning is the most common method used in both rural and urban areas in countries in this region. Updates are provided on national and regional suicide prevention activities in Bangladesh, Bhutan, Nepal, India, Sri Lanka, and Thailand.
这一章提供了东南亚地区自杀和自杀预防的最新情况,该地区涵盖了 11 个中低收入国家,占世界人口的 26%。全球超过三分之一(39%)的自杀事件发生在该地区,自杀率最高,为每 10 万人 17.7 人,由于研究人群、研究方法和不全面的数据登记系统的差异,这一数字可能被低估了。东南亚地区自杀者的风险特征和自杀特征在许多方面与其他地区明显不同。在该地区,自杀的男女比例更接近 1:1,而在高收入国家这一比例为 3:5,报告的精神障碍(如抑郁症或其他精神疾病)总体患病率较低。老年人和青少年的自杀率最高。在该地区的农村和城市地区,涉及农药中毒的自杀是最常见的方法。提供了孟加拉国、不丹、尼泊尔、印度、斯里兰卡和泰国的国家和区域自杀预防活动的最新情况。