2004～2005年东营市农村居民自杀死亡情况调查  

Survey on Mortality of Suicide Among Residents of Rural Areas in Dongying City,2004-2005

作　　者：尹卫青 马红[2] 李志华[3] 

机构地区：[1]利津县盐窝镇中心卫生院,山东利津257445 [2]东营市河口区疾病预防控制中心,山东东营257200 [3]潍坊医学院公共卫生学院,山东潍坊261053

出　　处：《预防医学论坛》2011年第8期689-690,701,共3页Preventive Medicine Tribune

摘　　要：[目的]了解农村居民自杀死亡率,探讨其死亡原因,为制订干预措施提供科学依据。[方法]对东营市利津县、河口区2004-2005年农村居民自杀死亡情况进行回顾性调查,按1∶1配比进行病例对照研究,探讨自杀危险因素。选择对照的匹配条件是性别相同、年龄相差1-2岁。[结果]利津县、河口区2004-2005年农村居民自杀死亡178例,年均死亡率为21.13/10万,其中男女性分别为21.95/10万、20.31/10万（P〉0.05）,40-79岁男女性分别为42.55/10万、28.99/10万（P〈0.05）;随着年龄增长死亡率逐渐升高（P〈0.01）。多因素条件Logistic回归分析结果,受教育程度低、有精神疾病、1年内遭遇负性生活事件、既往自杀未遂史者自杀死亡的危险高（OR分别为5.05、24.92、64.17、40.33）。自杀方式为口服农药的占76.97%、自缢占14.04%、其他方式占8.99%;58.99%存在慢性或严重躯体性疾病。[结论]该地区农村居民自杀死亡率较高,中老年男性高于女性,文化程度低、精神和躯体疾患、负性生活事件和既往自杀未遂者自杀死亡的危险高。[Objective]To understand the mortality of suicide and to explore the causes of suicide among residents of rural areas for providing interventional bases.[Methods]A retrospective investigation was conducted for death causes among residents of rural areas in Lijin county and Hekou district of Dongying city during Jan 2004 and Dec 2005.Then a paired case-control study was conducted for exploring the causes of suicide.The control was selected with sex and age about 1-2 yeas old by case.[Results]The number of suicide completed was 178 cases,and the annual death rate was 21.13/10^5 of total population among residents of rural areas in Lijin county and Hekou district of Dongying city during Jan 2004 and Dec 2005.The death rate was little higher in males（21.95/10^5） than in females（20.31/10^5） but with no significant difference（P〉0.05）.But the death rate was higher in males（42.55/10^5） than in females（28.99/10^5） among 40-79 year old group（P〈0.05）with the more aged and the more mortality（P〈0.01）.The risk factors of suicide were lower education（OR=5.05）,mental illness（OR=24.92）,adverse life events（OR=64.17）,historic suicide attempted（OR=40.33）.The methods for suicide were oral pesticide（76.97%） and sequence as for suicidal hanging（14.04%） and other methods（8.99%）.There were 58.52% completed suicides with chronic or serious illness.[Conclusion]The mortality rate of completed suicide is higher among residents of rural areas in the city.The risk factors are higher in males than in females among the middle aged and the elderly groups,lower educated,with mental and physical illness,adverse life events and historic attempted suicide.

关 键 词：自杀 死亡 

分 类 号：R195.1[医药卫生—卫生统计学]