2004-2005年珠海市自杀死亡人群死因回顾调查  

Retrospective study on the causes of death of suicide in Zhuhai City from 2004 to 2005

作　　者：李德云[1] 陈琦[1] 梁小冬[1] 吴少芳[1] 陈国荣[1] 陈惠娟[1] 吴兆伦 周伴群 

机构地区：[1]珠海市疾病预防控制中心,广东珠海519002 [2]珠海市斗门区疾病预防控制中心

出　　处：《疾病监测》2007年第12期833-835,共3页Disease Surveillance

摘　　要：目的了解珠海市人群自杀死亡流行特征及自杀模式,为自杀干预提供决策依据。方法应用2004-2005年珠海市户籍居民死因监测资料,描述珠海市人群自杀死亡的流行病学特征。结果2004-2005年间珠海市户籍人群平均自杀死亡率为10.32/10万,标准化率为10.78/10万,是继交通事故之后的第2位伤害死亡原因;其中男性和女性、农村和城市的标准化率分别为13.91/10万、7.01/10万、13.50/10万、6.32/10万,男性高于女性(u=4.11,P<0.01),农村高于城市(u=4.59,P<0.01);2年平均自杀死亡率随着年龄的增长而增加,60岁以上增加明显,且多为老年男性;自杀方式以自缢和服毒居多,占所有自杀死亡的77.20%。结论珠海市户籍人群平均自杀死亡率低于全国平均水平;其自杀模式既具有中国人群的自杀模式特征,农村高于城市,且主要为自缢和服毒;又具有国外自杀模式特征,男性明显高于女性,且多发生在老年男性人群。预防控制重点为农村地区和老年人群,主要措施为提高生活质量,加强农村基层卫生服务、健康教育和农药管理等。Objective The study was conducted to investigate the epidemiological characteristics and modes of suicide in Zhuhai City, providing decision making evidence for suicide intervention. Methods The surveillance data of death causes among registered residents in Zhuhai from 2004： to 2005 were used to describe the epidemiological characteristics of suicidal deaths of the population. Results The average suicidal death rate was 10.32/lakh among registered residents in Zhuhai from 2004 to 2005, the standardized rate being 10.78/lakh. Suicide was the second death cause following traffic accidents. The standardized rates of men and women, and in rural and urban areas were 13.91flakh, 7.01flakh, 13.50/ lakh, and 6.32flakh, respectively, men higher than women （u=4.11, P〈0.01）, and rural higher than urban （u= 4：.59, P〈0.01）. The two-year average suicide rate increased in proportion to the increase of age, significantly among people over 60 years old and mostly elderly men. The suicide was committed mostly by poison and hanging, accounting for 77.20% of all the commitment. Conclusion The average suicidal death rate among registered residents in Zhuhai is lower than the national average. Both a Chinese pattern in which the incidence is higher in rural than urban areas and the suicide is committed mainly by hanging and poison, and a foreign one where men especially elderly men are more found committing suicide than women. The focus of the prevention should be on the rural area and the elderly group and the main efforts be made to improve the quality of life and strengthen rural health services, health education and pesticide management.

关 键 词：自杀死亡 流行特征 户籍人群 

分 类 号：R195[医药卫生—卫生统计学]