2007—2018年北京市服农药自杀病例流行病学分析  

Epidemiological analysis on suicide cases by taking pesticide poisoning in Beijing from 2007-2018

作　　者：李海月[1] 张非若[1] 曹建彪[1] 叶研[1] 刘丽霞[1] 吴丹[1] 沈壮[1] LI Hai-yue;ZHANG Fei-ruo;CAO Jian-biao;YE Yan;LIU Li-xia;WU Dan;SHEN Zhuang(Department of Occupational Health,Beijing Center for Diseases Control and Prevention/Beijing Research Center for Preventive Medicine,Beijing,100020,China)

机构地区：[1]北京市疾病预防控制中心/北京市预防医学研究中心职业卫生所

出　　处：《职业与健康》2019年第23期3217-3219,3224,共4页Occupation and Health

摘　　要：目的通过对2007-2018年北京市服农药自杀病例进行分析,以了解北京市服农药自杀的现状及规律,为自杀预防工作提供参考依据。方法通过《中国疾病预防控制信息系统-职业病与职业卫生信息监测系统》收集2007-2018年北京市服农药自杀病例信息,统计分析服农药自杀病例在时间、性别、年龄及城郊等因素的分布情况。结果2007-2018年北京市共计报告服农药自杀病例4437例,死亡780例,病死率为17.58%;服农药自杀病例总体呈现下降趋势,6-8月为高发时段;女性病例多于男性;郊区病例高于城区;中青年女性和老年人为服农药自杀的高发人群。结论2007-2018年北京市服农药自杀问题依然严峻,并与季节性农业生产关系密切;女性病例较多,但男性病例数量也较多;应将郊区居民、中青年女性和老年人作为心理救助和心理危机干预的重点人群,以减少服农药自杀事件的发生。Objective To analyze the suicide cases by taking pesticide poisoning in Beijing from 2007-2018,understand the situation and patterns of suicide by pesticides poisoning,and provide references for suicide prevention strategies and interventions.Methods The data of suicide cases by taking pesticide poisoning in Beijing from 2007-2018 were collected from China Disease Prevention and Control Information System-Occupational Disease and Occupational Health Information Monitoring System,the distribution of pesticide suicide in time,sex,age,and region were analyzed statistically.Results From 2007-2018,4437 suicide cases by taking pesticide poisoning were reported in Beijing,including 780 deaths,and the mortality rate was17.58%.The suicide cases of pesticides poisoning was decreased,and peak season appeared June to August.The number of female cases was higher than that of males,and case number in suburban was higher than that in urban areas.Young and middle-aged women and the elderly were the high-incidence population of pesticide suicide.Conclusion From 2007-2018,suicide by pesticides poisoning is a serious social problem in Beijing,which related to seasonal agricultural production.There are more female cases,but the number of male cases is relatively large,which cannot be ignored.In order to reduce the occurrence of pesticide suicide,it is necessary to take the suburban residents,young and middle-aged women and the elderly as the key groups of psychological assistance and psychological crisis intervention.

关 键 词：自杀 农药 心理卫生 监测 

分 类 号：R181.8[医药卫生—流行病学]