Aso Escario J, Navarro Celma J A, Cobo Plana J A
Instituto Anatómico Forense de Zaragoza, Ministerio de Justicia.
Actas Luso Esp Neurol Psiquiatr Cienc Afines. 1993 May-Jun;21(3):65-71.
We review 312 suicide cases autopsied in the Forensic Institute of Zaragoza (Spain) during 1988-1991. Suicide rate was notabily higher than official statistics (15.01/100,000 habs. in Zaragoza vs. 4.3/100,000 Habs. from the National Statistic Institute). Reasons for this discrepancy are discussed emphasizing the role of suicide underrecording in the official statistics. Forensic Institute data are considered as a precise source for suicide epidemiologic study in Spain. Profiles for each different suicide type are described according to the results of our study concerning to age, sex, seasonal and month distribution, and other epidemiological data. A National Forensic Suicide Data Bank is proposed to approach properly the problematic of suicide epidemiology, based in the desirable informatic support to the Forensic Institutes. A modification in the Death Certificates is essential to include medico-legal etiology (suicide, accidental or criminal) which is essential in Forensic Reports but is not included, at the present, in the usual Death Certificates.
我们回顾了1988年至1991年期间在西班牙萨拉戈萨法医研究所进行尸检的312例自杀案件。自杀率明显高于官方统计数据(萨拉戈萨为15.01/10万居民,而国家统计局的数据为4.3/10万居民)。本文讨论了造成这种差异的原因,强调了官方统计中自杀漏报的作用。法医研究所的数据被视为西班牙自杀流行病学研究的精确来源。根据我们关于年龄、性别、季节和月份分布以及其他流行病学数据的研究结果,描述了每种不同自杀类型的特征。基于对法医研究所理想的信息支持,提议建立一个国家法医自杀数据库,以妥善处理自杀流行病学问题。修改死亡证明至关重要,以便纳入法医学病因(自杀、意外或刑事),这在法医报告中必不可少,但目前通常的死亡证明中并未包含。