De Leo D, Conforti D, Carollo G
Psychogeriatric Service, University of Padua, Italy.
Suicide Life Threat Behav. 1997 Fall;27(3):239-49.
This study analyzes suicide rates from 1887 to 1993 in the Italian population between the ages of 15 and 24 years old and over 65 years of age, based on official data published in the Health Statistics Year Book. The rates of death by suicide (per 100,000) subjects) are calculated for each year and for 10-year periods, as are the mortality rates relative to each method of suicide, standardized by gender. The latter analysis was possible starting from 1951 only, when it became customary to record method. The findings indicate an increase in the suicide phenomenon in the elderly population in Italy over the test period. Rates are at least 3 times higher for men than for women. The highest rates are reported for elderly men, but there appears to have been a greater proportional increase in the number of suicides committed by elderly women. The rise was statistically significant in both males and females. By contrast, a rather constant decrease in suicide rates in young people emerges from the beginning of the century through to the present date. This decrease is more marked in females, although suicide rates are lower for females than for males. Over the study period, substantial changes have come about in the suicide methods used by both young and old people. There was an increase in poisoning by care exhaust fumes, jumping from heights, hanging, and firearms.
本研究基于《卫生统计年鉴》公布的官方数据,分析了1887年至1993年意大利15至24岁以及65岁以上人群的自杀率。计算了每年以及每10年的自杀死亡率(每10万人),以及按性别标准化的每种自杀方式的死亡率。后一种分析仅从1951年开始可行,当时开始习惯记录自杀方式。研究结果表明,在测试期间,意大利老年人口中的自杀现象有所增加。男性的自杀率至少是女性的3倍。老年男性的自杀率最高,但老年女性自杀人数的比例增长似乎更大。这种增长在男性和女性中均具有统计学意义。相比之下,从本世纪初到现在,年轻人的自杀率呈现出相当持续的下降趋势。这种下降在女性中更为明显,尽管女性的自杀率低于男性。在研究期间,年轻人和老年人使用的自杀方式都发生了重大变化。吸入汽车尾气中毒、跳楼、上吊和使用枪支自杀的情况有所增加。