Factors Associated with Suicide Attempts and Suicides in the General Population of Andalusia (Spain)
Factors Associated with Suicide Attempts and Suicides in the General Population of Andalusia (Spain)
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DOI：
10.3390/ijerph16224496
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发表时间：
2019-11-01
影响因子：
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通讯作者：
Paz Garcia-Caro, Maria
中科院分区：
文献类型：
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作者：
Mejias-Martin, Yolanda;Luna del Castillo, Juan de Dios;Paz Garcia-Caro, Maria
比较自杀死亡与自杀未遂的研究发表了不同的结果。本研究旨在确定 2007 年至 2013 年间安达卢西亚（西班牙）自杀和自杀未遂的相关因素，比较这些人群的性别、年龄、年份和自杀方法。对七年期间自杀和自杀未遂死亡数据进行了回顾性研究，计算了每种行为的性别和年龄比率。使用调整泊松回归来分析与研究变量的关联，并估计发病率比率。在为期七年的研究期间，记录了 20,254 例自杀未遂事件和 5202 例自杀死亡事件。自杀未遂的发生率在性别之间没有差异，而男性自杀死亡的发生率是女性的三倍，并且随着年龄的增长而增加。对于自杀企图，男性和女性最常用的方法是相同的，但不同性别的自杀方法有所不同。性别和年龄的综合影响在自杀死亡模型中比在自杀未遂模型中更大。关键的区分因素是所使用的方法，而最令人担忧的发现是老年人的自杀行为。预防策略应考虑到这些差异。
Discrepant results have been published by studies comparing deaths by suicide with attempted suicides. This study aimed to determine factors associated with suicides and attempted suicides in Andalusia (Spain) between 2007 and 2013, comparing sex, age, year, and suicide method between these populations. A retrospective study was conducted of data on deaths by suicide and attempted suicides over a seven-year period, calculating the sex and age rates for each behavior. Adjusted Poisson regression was used to analyze the association with study variables, and incidence rate ratios were estimated. During the seven-year study period, 20,254 attempted suicides and 5202 deaths by suicide were recorded. The prevalence of attempted suicide did not differ between the sexes, whereas the prevalence of deaths by suicide was three-fold higher among males than among females and increased with higher age. The most frequently used method was the same in males and females for suicide attempts, but differed between the sexes for suicides. The combined influence of sex and age was greater in the model for death by suicide than in the model for attempted suicide. The key differentiating factor was the method used, while the finding of greatest concern was the suicide behavior among the elderly. Preventive strategies should take these differences into account.