Suicide deaths in rural Andhra Pradesh - a cause for global health action
Suicide deaths in rural Andhra Pradesh - a cause for global health action
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DOI：
10.1111/tmi.12416
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发表时间：
2015-02-01
影响因子：
3.3
通讯作者：
Maulik, Pallab K.
中科院分区：
文献类型：
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作者：
Joshi, Rohina;Guggilla, Rama;Maulik, Pallab K.
目的 使用口头尸检方法确定印度安得拉邦农村地区 4 年间因自杀造成的死亡比例。方法 2003 年至 2007 年 4 年间，由接受过口头尸检工具使用培训的非医师医护人员记录了 45 个村庄（人口 185629 人）发生的死亡情况。死因由经过国际疾病分类第 10 版培训的医生确定。所有数据均使用安全研究网站以电子方式输入和处理。结果记录的死亡 (5895 例) 中 98.2% (5786 例) 完成了口头尸检。粗死亡率为8.0/1000。所有死亡中 4.8% (95% CI 4.3-5.4) 是自杀，自杀率为 37.5/100000 人。 43% 的自杀发生在 15-29 岁年龄段，其中 62% 为男性。在较年轻的年龄组（10-29 岁）中，女性自杀率（56%）比男性自杀率（44%）更常见。中毒（40%）是最常见的自残方法，其次是上吊（12%）。 结论 安得拉邦该地区农村地区的自杀率比全国平均水平（11.2/100000）高出三倍，但与百万死亡研究报告的结果一致。印度迫切需要制定针对年轻人的战略，以防止自杀死亡。
ObjectivesTo determine the proportion of deaths attributable to suicides in rural Andhra Pradesh, India over a 4-year period using a verbal autopsy method.MethodsDeaths occurring in 45 villages (population 185629) were documented over a 4-year period from 2003 to 2007 by non-physician healthcare workers trained in the use of a verbal autopsy tool. Causes of death were assigned by physicians trained in the International Classification of Diseases, version 10. All data were entered and processed electronically using a secure study website.ResultsVerbal autopsies were completed for 98.2% (5786) of the deaths (5895) recorded. The crude death rate was 8.0/1000. 4.8% (95% CI 4.3-5.4) of all deaths were suicides, giving a suicide rate of 37.5/100000 population. Forty-three percent of suicides occurred in the age group 15-29years, and 62% were in men. In the younger age groups (10-29years), suicides by women (56%) were more common than by men (44%). Poisoning (40%) was the most common method of self-harm followed by hanging (12%).ConclusionThe suicide rate in this part of rural Andhra Pradesh is three times higher than the national average of 11.2/100000, but is in line with that reported in the Million Death Study. There is an urgent need to develop strategies targeted at young individuals to prevent deaths by suicide in India.