Adolescent Suicide Rates Between 1990 and 2009: Analysis of Age Group 15-19 Years Worldwide
Adolescent Suicide Rates Between 1990 and 2009: Analysis of Age Group 15-19 Years Worldwide
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DOI：
10.1016/j.jadohealth.2015.09.014
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发表时间：
2016-01-01
影响因子：
7.6
通讯作者：
De Leo, Diego
中科院分区：
文献类型：
--
作者：
Kolves, Kairi;De Leo, Diego
目的：当前分析的目的是分析1990年至2009年间全球15-19岁青少年的自杀率。方法：自杀数据来自世界卫生组织死亡率数据库，人口数据来自世界银行数据集。共有81个国家或地区在1990-1999年和2000-2009年期间至少有5年的数据被纳入分析。对57个国家的区域趋势进行了进一步分析。结果：在过去的几十年里，分析显示，男性的总体自杀率从10.30 / 10万下降到9.51 / 10万（p = 0.076），女性从4.39下降到4.18 （p = 0.472）。欧洲男女的平均自杀率均有显著下降，男性从13.13降至10.93 (p = 0.001)，女性从3.88降至3.34 （p = 0.038）。南美国家男性的得分显著上升，从7.36上升到11.47 (p = 0.016)，女性的得分接近显著上升，从5.59上升到7.98 （p = 0.053）。虽然世界其他区域没有显示出显著的趋势，但在国家一级出现了一些显著的变化。结论：西方国家死亡率下降的原因可能与全球健康状况的整体改善有关；预防自杀活动的可能作用尚不清楚。几个南美国家的死亡率增加可能与经济衰退及其对来自不同文化背景的青少年的影响有关，部分也与死亡率登记的改善有关。(C) 2016年青少年健康和医学学会。版权所有。
Purpose: The aim of the current analysis is to analyze suicide rates in adolescents aged 15-19 years in d ecades between 1990 and 2009 worldwide.Methods: Suicide data were obtained from the World Health Organization Mortality Database and population data from the World Bank Data set. In total, 81 countries or territories, having data at least for 5 years in 1990-1999 and in 2000-2009, were included in the analysis. Additional analysis for regional trends with 57 countries was performed.Results: Over the decades considered, analysis showed a declining trend in the overall suicide rate for males from 10.30 to 9.51 per 100,000 (p = .076), and for females from 4.39 to 4.18 (p = .472). The average suicide rate showed a significant decline for both genders in Europe, dropping from 13.13 to 10.93 (p = .001) in males and from 3.88 to 3.34 in females (p = .038). There was a significant increase in South American countries for males, from 7.36 to 11.47 (p = .016), and a close to significant rise for females, from 5.59 to 7.98 (p = .053). Although other world regions did not show significant trends, there were several significant changes at country level.Conclusions: Reasons behind the decrease in Western countries could potentially be related to the overall improvements in global health; the possible contribution of suicide prevention activities remains unclear. Increases in several South American countries might be related to economic recession and its impact on adolescents from diverse cultural backgrounds, and partly also to improvements in mortality registration. (C) 2016 Society for Adolescent Health and Medicine. All rights reserved.