Low-planned suicides in China

Low-planned suicides in China
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DOI:
10.1017/s003329170500454x
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发表时间:
2005-08-01
影响因子:
6.9
通讯作者:
Yang, GH
Yang, GH
中科院分区:
医学1区
文献类型:
--
作者:
Conner, KR;Phillips, MR;Yang, GH

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背景。自杀行为在行为前的计划程度方面存在很大差异。重新审查了之前调查中确定的中国自杀完成的相关性,以确定那些可能与低计划(冲动)和高计划自杀行为特别相关的因素。还评估了完成自杀的计划和方法的关联。方法。对 505 名年龄≥ 18 岁的自杀死者进行了心理尸检研究,这些死者被抽样作为中国自杀的代表。多项回归分析比较了自杀计划的三个级别(低、中、高)。结果。与高度计划的自杀行为相比,女性和年轻人更有可能进行低度计划和中间计划的自杀行为。更大的急性压力可以区分低计划性自杀和高计划性自杀。与高计划自杀相比,摄入家中储存的杀虫剂是低计划自杀中更常用的方法。结论。低计划自杀在女性、年轻人和承受严重压力的人中更为常见。旨在限制使用农药的预防策略可能会优先降低低计划自杀率。
Background. Acts of suicide differ widely in the amount of planning preceding the act. Correlates of completed suicide in China identified in a previous investigation were re-examined to identify those that may be especially relevant to low-planned (impulsive) and high-planned suicidal behavior. The association of planning and method in completed suicide was also assessed.Method. A psychological autopsy study of 505 suicide decedents aged >= 18 years sampled to be representative of suicides in China was conducted. Multinomial regression analyses compared three levels of suicide planning (low, intermediate, high).Results. Women and younger individuals were more likely to carry out low-planned and intermediate-planned than high-planned acts of suicide. Greater acute stress distinguished low-planned from high-planned suicides. Ingestion of pesticides stored in the home was a more commonly employed method in low-planned than high-planned suicides.Conclusions. Low-planned suicides are more common in women, in younger individuals, and among those who are experiencing acute stress. Prevention strategies targeted at restricting access to pesticides may preferentially lower the rate of low-planned suicides.