Zonda T
Fövárosi Onkormányzat Jahn Ferenc Dél-pesti Kórháza, Budapest.
Orv Hetil. 1998 Sep 20;139(38):2249-53.
Author made a revision on the theory published by Rihmer and alii in the year 1989. According to this theory the marked regional differences of suicide in Hungary are caused by the different discovery of the "endogen depression" (rate of diagnosed depression). So the lower is the diagnosis of depression the higher is the suicide rate in a given territory. They have seen a negative correlation between the number of working physicians and the suicide rates. Author made a reexamination on a correct database between 1985-1994. He has also made a study using the DSM-III-R diagnostic criteria in four counties of Hungary. His results deny the theory above mentioned. The rank-correlation of the number of GP and the suicide rates in Hungary in years 1985-1994 did not show correlation. So the underdiagnosis of the depressive disorders and the different number of GP are not the cause of the regional differences of suicide in Hungary.
作者对里默等人在1989年发表的理论进行了修正。根据该理论，匈牙利自杀率存在显著的地区差异是由“内源性抑郁症”（抑郁症诊断率）的不同发现所致。因此，在特定地区，抑郁症诊断率越低，自杀率越高。他们发现在职医生数量与自杀率之间存在负相关。作者在1985年至1994年期间对一个正确的数据库进行了重新审视。他还在匈牙利的四个县使用DSM-III-R诊断标准进行了一项研究。他的结果否定了上述理论。1985年至1994年期间匈牙利全科医生数量与自杀率的等级相关性并未显示出相关性。所以，抑郁症的诊断不足和全科医生数量的差异并非匈牙利自杀地区差异的原因。
