Suicide mortality in India: a nationally representative survey.
Suicide mortality in India: a nationally representative survey.
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DOI：
10.1016/s0140-6736(12)60606-0
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发表时间：
2012-06-23
期刊：
影响因子：
168.9
通讯作者：
Jha, Prabhat
中科院分区：
文献类型：
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作者：
Patel, Vikram;Ramasundarahettige, Chinthanie;Vijayakumar, Lakshmi;Thakur, J. S.;Gajalakshmi, Vendhan;Gururaj, Gopalkrishna;Suraweera, Wilson;Jha, Prabhat
印度关于自杀的流行病学研究很少。一项具有全国代表性的死亡率调查确定了在印度各地随机选择的6671个小地区的110万个家庭中发生的死亡原因。两名受过训练的医生根据一名非医学调查员对家庭受访者的实地采访，独立地为死亡原因分配代码。约3%的15岁及以上的死亡（2684/95335）是由于自杀。这相当于2010年印度这些年龄段的自杀死亡人数约为18.7万人（男性11.5万人，女性7.2万人; 15岁及以上年龄段的年龄标准化比率为每10万人中男性26.3人，女性17.5人）。在15岁及以上的自杀死亡中，40%的男性自杀和56%的女性自杀发生在15-29岁。在印度，一个15岁的人在80岁之前死于自杀的累积风险约为1.3%;男性的风险（1.7%）高于女性（1.0%），印度南部的风险尤其高（男性为3.5%，女性为1.8%）。受过教育的成年人自杀风险高于文盲。大约一半的自杀是中毒，其中大部分是杀虫剂。在15-29岁年龄段，自杀死亡人数几乎与男性交通事故死亡人数和女性孕产妇死亡人数一样多。印度的自杀死亡率是世界上最高的。很大一部分自杀发生在年轻人身上，特别是妇女。从控制杀虫剂的使用开始，印度的许多自杀事件可能是可以避免的。美国国立卫生研究院
There are few epidemiological studies of suicide in India. A nationally representative mortality survey determined the cause of death occurring in 1·1 million homes in 6671 small areas chosen randomly from all parts of India. Two trained physicians independently assigned codes to the causes of death, based on a nonmedical surveyor’s field interview with household respondents. About 3% of deaths at ages 15 years and older (2684/95 335) were due to suicide. This corresponds to about 187 000 suicide deaths in India in 2010 at these ages (115 000 men and 72 000 women; age-standardised rates per 100 000 at ages 15 years and older of 26·3 for men and 17·5 for women). For suicide deaths at ages 15 years and older 40% percent of male suicides and 56% of female suicides occurred at ages 15–29 years. A 15 year old in India had an approximate cumulative risk of 1·3% of dying before age 80 years by suicide; men had higher risk (1·7%) than women (1·0%), with especially high risks in South India (3·5% among men and 1·8% among women). Suicide risks were higher in educated versus illiterate adults. About half of the suicides were from poisoning, much of which was pesticide. At ages 15–29 years, suicide accounted for nearly as many deaths as transport accidents in men and maternal deaths in women. Suicide death rates in India are amongst the highest in the world. A large proportion of suicides occur at younger ages, especially in women. Much of Indian suicides may be avoidable, starting with control of access to pesticides. U.S. National Institutes of Health