CAUSES OF DEATH IN A COHORT OF 50465 YOUNG MEN - VALIDITY OF RECORDED SUICIDE AS UNDERLYING CAUSE OF DEATH
CAUSES OF DEATH IN A COHORT OF 50465 YOUNG MEN - VALIDITY OF RECORDED SUICIDE AS UNDERLYING CAUSE OF DEATH
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DOI：
10.1177/140349489101900405
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发表时间：
1991-01-01
期刊：
影响因子：
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通讯作者：
JAKOBSSON, SW
中科院分区：
文献类型：
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作者：
ALLEBECK, P;ALLGULANDER, C;JAKOBSSON, SW
我们研究了在1969年至1970年被征召服兵役的所有年轻男性（n = 50 465）的队列的死亡原因。 在1983年的随访中，该队列中有683例死亡。 与伤害有关的死亡占所有死亡的75%。 其中，38%是确定的自杀，10%是未确定的自杀，30%是机动车事故。 官方记录的死亡原因的有效性进行了研究，仔细检查所有的死亡证明（n = 683）和法医报告，包括警方报告，毒理学和组织学数据，从一个样本（n = 322）的死亡情况不明。 在47例正式记录为“未确定”的病例（E980-989）中，9例被重新评估为确定的自杀（E950-959），尽管我们认为这仍然低估了“真正的”自杀病例。 超过0.1克%的酒精浓度被发现在45%的所有暴力死亡（E800-999），34%的所有自杀和60%的所有“未确定”deaths.We的结论是，在大多数情况下，伤害相关的死亡在年轻的死亡原因记录具有很高的准确性。 对“不明原因”造成的死亡记录进行重新评估后发现，确实有一些人自杀，但即使对现有资料进行仔细审查，也难以评估“真实”自杀人数。
We studied causes of death in a cohort of all young males (n = 50 465) conscripted for military service in 1969-70. Six hundred eighty three deaths occurred in the cohort during the follow-up through 1983. Injury-related deaths accounted for 75% of all deaths. Of these, 38% were definite suicides, 10% undetermined suicides and 30% motor vehicle accidents. The validity of officially recorded causes of death was studied by scrutinizing all death certificates (n = 683) and forensic reports, including police reports, toxicological and histological data, from a sample (n = 322) of deaths with unclear circumstances.Of 161 officially recorded suicides (E950-959), only one case was reevaluated into poisoning, "undetermined" (E980). Of 47 cases officially recorded "undetermined" (E980-989), 9 were reevaluated into definite suicide (E950-959) although we believe that this is still an underestimation of "true" suicide cases. An alcohol concentration of more than 0.1 g% was found in 45% of all violent deaths (E800-999), 34% of all suicides and 60% of all "undetermined" deaths.We conclude that the causes of death in most cases of injury related death in young age are recorded with high accuracy. Reevaluation of recorded deaths from "undertermined" causes revealed a number of definite suicides, although the "true" number of suicides is difficult to assess even after close scrutiny of the information available.