Time trends in coroners' use of different verdicts for possible suicides and their impact on officially reported incidence of suicide in England: 1990-2005
Time trends in coroners' use of different verdicts for possible suicides and their impact on officially reported incidence of suicide in England: 1990-2005
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DOI：
10.1017/s0033291712002401
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发表时间：
2013-07-01
影响因子：
6.9
通讯作者：
Kapur, N.
中科院分区：
文献类型：
--
作者：
Gunnell, D.;Bennewith, O.;Kapur, N.
背景英国官方的自杀统计数据是基于自杀判决的死亡人数，大多数情况下是在验尸官的调查后得出的公开判决。以前的研究表明，一些意外死亡的判决被认为是自杀的临床医生。验尸官使用不同判决的变化可能会使自杀趋势的估计产生偏差。我们调查了自杀趋势是否可能被高估或低估时，他们的基础上死亡的自杀和公开的裁决。1990/91年，1998年和2005年，12名英国验尸官评估了可能的自杀事件，并分配了开放式，事故/不幸或叙事判决，由三名经验丰富的自杀研究人员根据自杀的可能性进行了评级。这些验尸官给出的所有自杀判决的细节也被记录下来。在1990/91年，72.0%的研究者定义的自杀者得到了验尸官的自杀判决，这一比例在2005年下降到65.4%（p（趋势）
Background. Official suicide statistics for England are based on deaths given suicide verdicts and most cases given an open verdict following a coroner's inquest. Previous research indicates that some deaths given accidental verdicts are considered to be suicides by clinicians. Changes in coroners' use of different verdicts may bias suicide trend estimates. We investigated whether suicide trends may be over-or underestimated when they are based on deaths given suicide and open verdicts.Method. Possible suicides assessed by 12 English coroners in 1990/91, 1998 and 2005 and assigned open, accident/ misadventure or narrative verdicts were rated by three experienced suicide researchers according to the likelihood that they were suicides. Details of all suicide verdicts given by these coroners were also recorded.Results. In 1990/91, 72.0% of researcher-defined suicides received a suicide verdict from the coroner, this decreased to 65.4% in 2005 (p(trend)