Who uses firearms as a means of suicide? A population study exploring firearm accessibility and method choice.
Who uses firearms as a means of suicide? A population study exploring firearm accessibility and method choice.
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DOI：
10.1186/1741-7015-7-52
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发表时间：
2009-09-24
期刊：
影响因子：
9.3
通讯作者：
De Leo D
中科院分区：
文献类型：
--
作者：
Klieve H;Sveticic J;De Leo D
1996年的《澳大利亚国家枪支协定》引入了严格的准入限制。然而，关于新立法有效性的报道相互矛盾。这项研究查阅了1997-2004年所有自杀案例，探讨了可能影响选择枪支作为自杀方法的因素，包括目前持有许可证和以前合法获得枪支的历史。昆士兰自杀登记处提供了昆士兰所有自杀案件(1997-2004年)的详细资料，枪支登记处(昆士兰警察局)提供了枪支执照历史的更多详细资料。将案件与执照历史和方法选择(枪支或其他方法)进行比较。优势比(OR)评估枪支自杀和任何方法自杀的风险与执照历史的对照。对最有可能使用枪支自杀的人进行了Logistic回归分析，确定了显著的因素。有当前执照的人使用枪支自杀的比率(10.92/10万)远远超过没有执照历史的人(每10万人中有1.03人)。那些有驾照历史的人的自杀率(30.41/10万)远远高于所有自杀者的自杀率(15.39/10万)。此外，有枪支许可证的历史(当前或现在)被发现以任何方式自杀的风险增加了一倍以上(OR=2.09P<；0.001)。选择枪支自杀的风险最高的群体是来自农村地区的老年男性。可获得性和对枪支的熟悉程度是决定选择方法的关键因素。进一步的许可证限制和更严格的安全储存要求的实施可能会降低社区对枪支的总体熟悉程度，并有助于降低自杀率。
The 1996 Australian National Firearms Agreement introduced strict access limitations. However, reports on the effectiveness of the new legislation are conflicting. This study, accessing all cases of suicide 1997-2004, explores factors which may impact on the choice of firearms as a suicide method, including current licence possession and previous history of legal access. Detailed information on all Queensland suicides (1997-2004) was obtained from the Queensland Suicide Register, with additional details of firearm licence history accessed from the Firearm Registry (Queensland Police Service). Cases were compared against licence history and method choice (firearms or other method). Odds ratios (OR) assessed the risk of firearms suicide and suicide by any method against licence history. A logistic regression was undertaken identifying factors significant in those most likely to use firearms in suicide. The rate of suicide using firearms in those with a current license (10.92 per 100,000) far exceeded the rate in those with no license history (1.03 per 100,000). Those with a license history had a far higher rate of suicide (30.41 per 100,000) compared to that of all suicides (15.39 per 100,000). Additionally, a history of firearms licence (current or present) was found to more than double the risk of suicide by any means (OR = 2.09, P < 0.001). The group with the highest risk of selecting firearms to suicide were older males from rural locations. Accessibility and familiarity with firearms represent critical elements in determining the choice of method. Further licensing restrictions and the implementation of more stringent secure storage requirements are likely to reduce the overall familiarity with firearms in the community and contribute to reductions in rates of suicide.
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影响因子：
3.7
作者：
Ikeda, RM;Dahlberg, LL;Mercy, JA
通讯作者：
Mercy, JA
影响因子：
7.2
作者：
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通讯作者：
Caine, ED
影响因子：
12.7
作者：
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通讯作者：
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影响因子：
5.5
作者：
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通讯作者：
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DOI：
10.1111/j.1440-1614.2006.01782.x
发表时间：
2006-03-01
影响因子：
4.6
作者：
Beautrais, AL;Fergusson, DM;Horwood, LJ
通讯作者：
Horwood, LJ