Pritchard C
Dept Social Work Studies, University of Southampton.
J R Soc Health. 1995 Apr;115(2):120-7. doi: 10.1177/146642409511500212.
The psychiatric targets set in 'The Health of the Nation' reflect a fundamental change in auditing the psychiatric and social services, and it is argued that suicide levels have become 'Paradoxical indicators' of effectiveness. Based upon mortality rates between 1974-1990, inter-regional comparative league tables are presented. Changes in age and gender patterns, and the accumulative impact of unemployment 1990-1994, especially in the more affluent regions, suggest that the suicide targets may not be feasible. The implications for the community and psychiatric services are briefly discussed.
《国家健康报告》中设定的精神病学目标反映了对精神病学及社会服务进行评估的一个根本性变化，并且有人认为自杀率已成为有效性的“矛盾指标”。基于1974年至1990年的死亡率，列出了地区间比较排行榜。年龄和性别模式的变化，以及1990年至1994年失业的累积影响，尤其是在较富裕地区，表明自杀目标可能不可行。文中简要讨论了这对社区和精神病学服务的影响。
