Orlewska Katarzyna, Orlewski Pawel, Klusek Justyna
Faculty of Health Sciences, Medical University of Warsaw, 02-091 Warsaw, Poland.
Institute of Process Engineering, ETH Zurich, 8092 Zurich, Switzerland.
Int J Environ Res Public Health. 2021 Mar 19;18(6):3190. doi: 10.3390/ijerph18063190.
The study aimed to analyze the burden and territorial diversification of adolescent suicide and the link between suicide attempts and selected socioeconomic variables in Poland.
Rates of suicide by voivodeships for years 1999-2019 were obtained from the General Police Headquarters of Poland database. The burden of premature death was expressed in years of life lost (YLL) and costs of lost productivity, which were estimated using the human capital approach. The link between suicide rates and socioeconomic determinants has been analyzed with Pearson's correlation coefficient.
Over the analyzed period, an increase in suicide attempt rates and a decrease in suicide death rates have been observed. Mean YLL and costs of lost productivity per year amounted to 11,982 and 153,172,415 PLN, respectively. Territorial diversification in suicide attempt rates corresponds to the living condition, poverty, association-based capital, and satisfaction with family situation in individual voivodeships. The number of deaths due to suicide is negatively correlated with an indicator of good living conditions.
Our findings provide quantitative evidence of the national impact of suicide and suggest that addressing social capital and poverty may have a role in preventing adolescent mortality due to suicide.
本研究旨在分析波兰青少年自杀的负担和地区差异，以及自杀未遂与选定社会经济变量之间的联系。
1999 - 2019年各省份的自杀率数据来自波兰警察总部数据库。过早死亡的负担用生命损失年数（YLL）和生产力损失成本来表示，生产力损失成本采用人力资本法进行估算。自杀率与社会经济决定因素之间的联系通过Pearson相关系数进行分析。
在分析期内，观察到自杀未遂率上升而自杀死亡率下降。每年的平均生命损失年数和生产力损失成本分别为11,982和153,172,415波兰兹罗提。自杀未遂率的地区差异与各省份的生活条件、贫困状况、基于社团的资本以及家庭状况满意度相对应。自杀死亡人数与良好生活条件指标呈负相关。
我们的研究结果提供了自杀对国家影响的定量证据，并表明解决社会资本和贫困问题可能在预防青少年自杀死亡方面发挥作用。
