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关于不断变化的物理环境条件下自杀与心肌梗死之间的关系。

Relationship between suicide and myocardial infarction with regard to changing physical environmental conditions.

作者信息

Stoupel E, Abramson E, Sulkes J, Martfel J, Stein N, Handelman M, Shimshoni M, Zadka P, Gabbay U

机构信息

Toor Heart Institute, Beilinson Medical Centre, Petah Tiqva, Israel.

出版信息

Int J Biometeorol. 1995 May;38(4):199-203. doi: 10.1007/BF01245389.

DOI:10.1007/BF01245389
PMID:7601553
Abstract

In recent years, the possible association of changes in mortality from cardiovascular disease and myocardial infarction (MI) and deaths related to violence and the suicide rate has been repeatedly discussed. This study examined the relationship between cosmic physical changes (solar, geomagnetic and other space activity parameters) and changes in the total number of in-hospital and MI-related deaths and deaths from suicide to determine if a relationship exists between the distribution of total and MI-related deaths with suicide over time; some differences in the serotonergic mechanisms involved in the pathogenesis of MI and suicide were also taken into account. All suicides (n = 2359) registered in the State of Israel from 1981 to 1989 (108 months) were analysed and compared with the total number of deaths (n = 15601) and deaths from MI (n = 1573) in a large university hospital over 180 months (1974-1989). The following were the main features of the Results. (1) Monthly suicide rate was correlated with space proton flux (r = 0.42, P = 0.0001) and with geomagnetic activity (r = -0.22, P = 0.03). (2) Total hospital and MI-related deaths were correlated with solar activity parameters (r = 0.35, P < 0.001) and radiowave propagation (r = 0.52-0.44, P < 0.001), an with proton flux (r = -0.3 to -0.26, P < 0.01). (3) Monthly suicide distribution over 108 months was correlated with MI (r = -0.33, P = 0.0005) and total hospital mortality (r = -0.22, P = 0.024). (4) Gender differences were prominent.(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

近年来,心血管疾病和心肌梗死(MI)死亡率的变化与暴力相关死亡及自杀率之间可能存在的关联已被反复讨论。本研究考察了宇宙物理变化(太阳、地磁及其他空间活动参数)与住院总死亡人数、MI相关死亡人数及自杀死亡人数变化之间的关系,以确定总死亡人数及MI相关死亡人数与自杀人数随时间分布之间是否存在关联;同时还考虑了MI和自杀发病机制中涉及的血清素能机制的一些差异。分析了1981年至1989年(108个月)以色列国登记的所有自杀事件(n = 2359),并与一家大型大学医院180个月(1974 - 1989年)期间的总死亡人数(n = 15601)及MI相关死亡人数(n = 1573)进行比较。结果的主要特征如下:(1)月自杀率与空间质子通量(r = 0.42,P = 0.0001)及地磁活动(r = -0.22,P = 0.03)相关。(2)住院总死亡人数及MI相关死亡人数与太阳活动参数(r = 0.35,P < 0.001)及无线电波传播(r = 0.52 - 0.44,P < 0.001)以及质子通量(r = -0.3至 -0.26,P < 0.01)相关。(3)108个月内的月自杀分布与MI(r = -0.33,P = 0.0005)及住院总死亡率(r = -0.22,P = 0.024)相关。(4)性别差异显著。(摘要截选至250字)

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