Kelleher M J, Kelleher M J, Daly M, Corcoran P, Daly F, Crowley M J, Keeley H
National Suicide Research Foundation, Cork, Ireland.
Suicide Life Threat Behav. 1996 Winter;26(4):365-73.
The purpose of the present investigation was to explore further the known relationship between deliberate self-poisoning and social deprivation. Each individual who attended one of Cork city's three casualty departments following an act of deliberate self-poisoning in 1988 was examined. The place of residence (ward) of each city resident patient was established. The social status of the city's 34 wards was estimated using a number of indices obtained from the 1981 and 1986 census reports and social service records. A comparison was made between the 1988 self-poisoning rate for each ward and the rate found in a 1982 study of the city. Correlations between self-poisoning rate and seven social deprivation indices were found to be significant. Multiple regression, factor, and partial correlation analyses were carried out to examine more closely the interrelationships between the social deprivation indices. With respect to explaining the variation in the self-poisoning rate, unemployment alone performed almost as well as all of the indices together and as well as the factors derived using factor analysis. The correlation between unemployment and self-poisoning rate remained highly significant when the other related variables were controlled for. However, at fixed levels of unemployment, these variables were found to be independent of the self-poisoning rate. It is suggested that whereas clinical intervention may benefit the individual, deliberate self-poisoning as an issue requires a public health approach for its resolution.
本调查的目的是进一步探究蓄意自我中毒与社会剥夺之间已知的关系。对1988年在科克市三个急诊科之一因蓄意自我中毒前来就诊的每一个人进行了检查。确定了每位城市居民患者的居住地点（病房）。利用从1981年和1986年人口普查报告及社会服务记录中获得的一些指标，估算了该市34个病房的社会地位。对每个病房1988年的自我中毒率与1982年该市一项研究中发现的比率进行了比较。发现自我中毒率与七个社会剥夺指标之间的相关性显著。进行了多元回归、因子分析和偏相关分析，以更仔细地研究社会剥夺指标之间的相互关系。在解释自我中毒率的变化方面，仅失业率的表现几乎与所有指标加起来的表现一样好，也与使用因子分析得出的因素表现相当。在控制了其他相关变量后，失业率与自我中毒率之间的相关性仍然非常显著。然而，在固定的失业率水平下，发现这些变量与自我中毒率无关。有人认为，虽然临床干预可能对个体有益，但蓄意自我中毒作为一个问题需要采取公共卫生方法来解决。
