Diekstra R F
Encephale. 1996 Dec;22 Spec No 4:15-8.
Epidemiology for suicide cannot give precise numbers: between 440,000 (WHO) and 818,000 persons in the world commit suicide each year. For Europe, suicides increased regularly to a maximum in 1982-84 (median = 17/100,000). Suicide victims tend to be younger. The author doubts that psychiatric causes can explain suicide and be the only factor of importance for prevention. Suicide of adolescents is only the visible tip of a general behavior learned since childhood. The suicidal "solution" (ideas, parasuicides, attempted suicides, and suicides) is probably a social phenomenon. Efficacious prevention requires a global societal approach. Programs of research and prevention in the Netherlands are presented.
全球每年有44万(世界卫生组织数据)至81.8万人自杀。在欧洲,自杀率在1982 - 1984年期间持续上升至最高水平(中位数为每10万人中有17人自杀)。自杀受害者往往较为年轻。作者怀疑精神疾病原因能否解释自杀现象,以及它是否是预防自杀的唯一重要因素。青少年自杀只是自幼习得的一种普遍行为的冰山一角。自杀“行为”(想法、准自杀行为、自杀未遂和自杀)可能是一种社会现象。有效的预防需要一种全面的社会方法。本文介绍了荷兰的研究和预防项目。