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澳大利亚文化和语言多元化(CALD)移民群体中自杀行为的经济成本

Economic Cost of Suicide Among Culturally and Linguistically Diverse (CALD) Migrants in Australia.

作者信息

Maheen Humaira, Doran Christopher M

机构信息

Centre for Health Equity, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, VIC 3010, Australia.

Appleton and Manna Institutes, Central Queensland University, Brisbane, QLD 4000, Australia.

出版信息

Int J Environ Res Public Health. 2025 Jun 3;22(6):892. doi: 10.3390/ijerph22060892.

Abstract

BACKGROUND

Suicide and self-harm pose significant global public health challenges with substantial economic implications. Recent Australian evidence shows considerable variations in the prevalence of suicidal behaviours and mortality among culturally and ethnically diverse population groups. This study aims to estimate the associated economic cost of suicide among culturally and linguistically diverse (CALD) migrants in Australia.

METHODS

We evaluated the economic impact of suicide by considering the years of life lost, years of productive life lost, and overall economic costs, including direct, indirect, and intangible costs. We used data on suicide deaths in 2020 from the National Coronial Information System.

RESULTS

The estimated economic cost associated with 346 suicide deaths among CALD migrants is $2.9 billion (Australian dollars), with an average cost per fatality equivalent to $8.47 million. This estimate varies in the sensitivity analysis from $1.9 billion to $3.9 billion, depending on the average age of fatality, with corresponding average costs of $5.59 million to $11.35 million, respectively. These estimates do not capture costs associated with suicidal behaviours, which may substantially increase the economic burden.

CONCLUSIONS

The significant economic impacts of CALD migrants' suicide in Australia highlight the urgent need for a comprehensive national suicide prevention programme tailored for CALD migrant populations.

摘要

背景

自杀和自我伤害给全球公共卫生带来了重大挑战,并产生了巨大的经济影响。澳大利亚最近的证据表明,在文化和种族多样的人群中,自杀行为的发生率和死亡率存在相当大的差异。本研究旨在估计澳大利亚文化和语言多样化(CALD)移民中自杀相关的经济成本。

方法

我们通过考虑寿命损失年数、生产性生活损失年数以及包括直接、间接和无形成本在内的总体经济成本,评估了自杀的经济影响。我们使用了国家死因信息系统中2020年自杀死亡的数据。

结果

与CALD移民中346例自杀死亡相关的估计经济成本为29亿澳元,平均每例死亡成本相当于847万澳元。在敏感性分析中,根据死亡平均年龄的不同,这一估计值在19亿澳元至39亿澳元之间变化,相应的平均成本分别为559万澳元至1135万澳元。这些估计未涵盖与自杀行为相关的成本,而这些成本可能会大幅增加经济负担。

结论

CALD移民自杀在澳大利亚造成的重大经济影响凸显了迫切需要为CALD移民群体量身定制一项全面的国家自杀预防计划。

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