Suicide rates in young men in England and Wales in the 21st century: time trend study
Suicide rates in young men in England and Wales in the 21st century: time trend study
复制标题
DOI：
10.1136/bmj.39475.603935.25
复制
发表时间：
2008-03-08
影响因子：
--
通讯作者：
Gunnell, David
中科院分区：
文献类型：
--
作者：
Biddle, Lucy;Brock, Anita;Gunnell, David
目的 探讨年轻人自杀率的趋势，以调查最近的观察结果，即在 1970 年代、1980 年代和 1990 年代初逐年上升之后，年轻男性的自杀率现在正在下降。设计时间趋势分析。背景为英格兰和威尔士，1968-2005。人口 15-34 岁的男性和女性。结果 自 20 世纪 90 年代以来，年轻男性的自杀率稳步下降，并且持续下降。 2005年，它们处于近30年来的最低水平。这种下降的部分原因是，随着越来越多的汽车配备催化转换器，汽车尾气中毒现象减少；但包括绞刑在内的所有常见自杀方式的自杀率均有所下降，这表明自杀效应更为普遍。其他自杀风险因素，例如失业和离婚，也有所减少。最近年轻男性饮酒量的减少和抗抑郁药处方的增加似乎与自杀率的下降没有时间关系。 结论 在过去 10 年中，英格兰和威尔士年轻男性的自杀率显着下降。失业率等关键自杀风险因素的减少可能有助于降低自杀率。
Objectives To explore trends in suicide in young people to investigate the recent observation that after year on year rises in the 1970s, 1980s, and early 1990s, rates in young men are now declining.Design Time trend analysis.Setting England and Wales, 1968-2005.Population Men and women aged 15-34 years.Results Since the 1990s, rates of suicide in young men have declined steadily and by 2005 they were at their lowest level for almost 30 years. This decline is partly because of a reduction in poisoning with car exhaust gas as an increased number of cars have catalytic converters; but there have been declines in suicides from all common methods, including hanging, suggesting a more pervasive effect. Other risk factors for suicide, such as unemployment and divorce, have also decreased. Possible recent reductions in alcohol use among young men and increases in prescribing of antidepressants do not seem to be temporally related to the decline In suicide.Conclusions Suicide rates in young men have declined markedly in the past 10 years in England and Wales. Reductions in key risk factors for suicide, such as unemployment, might be contributing to lower rates.