Comparative analysis of suicide, accidental, and undetermined cause of death classification.

Comparative analysis of suicide, accidental, and undetermined cause of death classification.
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DOI:
10.1111/sltb.12079
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发表时间:
2014-06
影响因子:
3.2
通讯作者:
McMahon WM
McMahon WM
中科院分区:
医学2区
文献类型:
--
作者:
Gray D;Coon H;McGlade E;Callor WB;Byrd J;Viskochil J;Bakian A;Yurgelun-Todd D;Grey T;McMahon WM

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法医对自杀的判定并不标准,许多疑似自杀后来被归类为意外或未确定。本研究调查了这三个群体之间的模式,使用医学检查员数据库和633结构化访谈近亲。所有三个分类组都有相似之处,包括精神疾病和精神症状的发生率。那些被归类为自杀的人更有可能是男性,以暴力方式死亡,并且有更强烈的自杀家族史。身体疼痛是很常见的,但急性疼痛与慢性疼痛区分自杀组。
Suicide determination is not standardized across medical examiners, and many suspected suicides are later classified as accidental or undetermined. The present study investigated patterns between these three groups using a Medical Examiner database and 633 structured interviews with next of kin. There were similarities across all three classification groups, including rates of mental illness and psychiatric symptoms. Those classified suicide were more likely to be male, to have died in a violent fashion, and have a stronger family history of suicide. Physical pain was very common, but acute pain vs. chronic pain distinguished the suicide group.