Effect of death of Diana, Princess of Wales on suicide and deliberate self-harm

Effect of death of Diana, Princess of Wales on suicide and deliberate self-harm
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DOI:
10.1192/bjp.177.5.463
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发表时间:
2000-11-01
影响因子:
10.5
通讯作者:
Parrott, H
Parrott, H
中科院分区:
医学1区
文献类型:
--
作者:
Hawton, K;Harriss, L;Parrott, H

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背景 1997 年威尔士王妃去世后,公众普遍哀悼。此类重大事件可能会影响自杀行为。目的是评估公主的死亡对自杀和故意自残(DSH)的影响。方法使用泊松回归,对公主死亡后英格兰和威尔士的自杀和公开判决(“自杀”)数量与前三个月以及1992-1996年同期进行比较进行分析。对 DSH 向一家综合医院进行的演示进行了类似的分析。结果 公主葬礼后的一个月内,自杀人数有所增加 (+ 17.4%)。这在女性中尤为明显 (+33.7%),尤其是 25-44 岁的女性 (+45.1%)。在死亡和葬礼之间的一周内,自杀率没有下降。在死亡后一周内,接受 DSH 治疗的人数显着增加 (+44.3%),尤其是女性 (+65.1%)。对案例说明的审查表明,死亡的影响很大程度上是通过扩大个人损失或加剧现有的痛苦来实现的。 结论 重要公众人物的死亡可能会影响自杀行为的发生率。对于 DSH,影响可能是立竿见影的,但对于自杀来说,影响可能会延迟。利益申报 无。
Background The death of the Princess of Wales in 1997 was followed by widespread public mourning. Such major events may influence suicidal behaviour.Aims To assess the impact of the Princess's death on suicide and deliberate self-harm (DSH).Method Analysis, using Poisson regression, of the number of suicides and open verdicts ('suicides') in England and Wales following the Princess's death compared to the 3 months beforehand, and the equivalent periods in 1992-1996. Similar analysis on DSH presentations to a general hospital.Results Suicides increased during the month following the Princess's funeral (+ 17.4%). This was particularly marked in females (+33.7%), especially those aged 25-44 years (+45.1%). Suicides did not fall in the week between the death and the funeral. Presentations for DSH increased significantly during the week following the death (+44.3%), especially in females (+65.1%). Examination of case notes suggested that the influence of the death was largely through amplification of personal losses or exacerbation of existing distress.Conclusions The death of a major public figure can influence rates of suicidal behaviour. For DSH, the impact may be immediate, but for suicide it may be delayed.Declaration of interest None.