Moens G F, Loysch M J, van de Voorde H
School of Public Health, Catholic University of Leuven, Belgium.
Acta Psychiatr Scand. 1988 Mar;77(3):320-7. doi: 10.1111/j.1600-0447.1988.tb05128.x.
The geographical variation of reported suicide among the 43 Belgian districts was analysed for each method of suicide in both sexes and in two time periods: 1968-72 and 1978-81. Different descriptive methods were used to assess the patterns and changes in method-specific indirectly standardized death rates. It appeared that the overall suicide pattern was not always a good reflection of the method-specific patterns. Moreover, these seemed consistent in time and between sexes. Two important methods, which could be partially influenced, showed a remarkable concentration in some southern districts: suicidal poisoning by solid and liquid substances (in both sexes) and the use of firearms (in males). Drowning was much more concentrated in the West of the country and jumping was especially frequent in Brussels. Possible explanations and the relevance of these findings for prevention are discussed.
对1968 - 72年和1978 - 81年这两个时间段内，比利时43个行政区按性别和自杀方式报告的自杀情况的地理差异进行了分析。采用不同的描述性方法来评估特定方式间接标准化死亡率的模式和变化。结果显示，总体自杀模式并不总是特定方式模式的良好反映。此外，这些模式在不同时间和性别之间似乎具有一致性。两种可能受部分影响的重要方式在一些南部行政区呈现出显著的集中趋势：固体和液体物质中毒自杀（男女皆是）以及男性使用枪支自杀。溺水在该国西部更为集中，而跳楼在布鲁塞尔尤为频繁。文中讨论了这些发现的可能解释及其对预防工作的相关性。
