Dean G, Adelstein A, Spooner J
Int J Epidemiol. 1976 Jun;5(2):145-51. doi: 10.1093/ije/5.2.145.
Reported national rates of suicide remain fairly stable from year to year and considerable differences persist between countries. Reported rates of suicide also differ from actual rates according to the social influences and the legal procedure both in attributing suicide and also in how the death is recorded and coded. This paper compares the rates of suicide and non-fatal self-poisoning in Scotland, England and Wales, and Ireland, and also examines suicide rates in people born in Ireland but now resident in England and Wales. The rise in overdose admissions to hospital which is continuing in relative degrees in all communities of Great Britain and Ireland, except Northern Ireland, does not seem to be correlated with trends in fatal suicide behaviour. Further studies on all aspects of the subject are needed to clarify the social determinants involved and to identify ways in which further increases can be contained.
各国报告的自杀率逐年保持相对稳定，但国家之间仍存在显著差异。根据社会影响以及自杀归因、死亡记录和编码方式的法律程序，报告的自杀率也与实际自杀率有所不同。本文比较了苏格兰、英格兰、威尔士和爱尔兰的自杀率及非致命性自我中毒率，并研究了出生于爱尔兰但现居住在英格兰和威尔士的人群的自杀率。除北爱尔兰外，在大不列颠及爱尔兰所有社区中，因过量用药住院的人数相对持续增加，这似乎与致命自杀行为的趋势无关。需要对该主题的各个方面进行进一步研究，以阐明其中涉及的社会决定因素，并确定遏制自杀率进一步上升的方法。
