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目的 探讨上海市杨浦区 1997～ 1999年居民自杀死亡的综合因素。方法 通过对 3年内在公安局所登记的区域内自杀死亡居民资料 ,分析不同年龄、性别、自杀方式 ,以及与自杀相关因素的特点。结果 杨浦区居民 3年间平均自杀率为8 6 / 10万 ,2 5～ 34岁青年组 (12 1/ 10万 )及 6 5岁以上老年组 (2 0 3/ 10万 ) ,为高自杀年龄段 ,但需引起重视的是 16岁以下的自杀率 (2 8/ 10万 )呈上升趋势 ,男女自杀率比例为 1 2 5 :1,男性自杀方式以自缢、跳楼等激烈性方法为多 ,女性以非激烈性方法为多 (χ2 =4.87,P <0 0 5 )。因疾病原因自杀者在 <5 5岁年龄中以精神疾病为主 ,>5 5岁年龄中以躯体疾病为多 (χ2=12 17,P <0 0 1)。结论 城市青少年和青壮年年龄段自杀率呈上升趋势 ,且男性自杀率大于女性 ,提示必须重视社会干预 ,减少自杀发生率。
Objective To investigate the comprehensive factors of suicide among residents in Yangpu district of Shanghai from 1997 to 1999. Methods Based on the data of residents who died from suicide registered in the Public Security Bureau within three years, the author analyzed the characteristics of different factors such as age, gender, suicide and suicide. Results The average suicide rate of residents in Yangpu district was 86,000 / 100,000 in three years, 121,000 in young people aged from 25 to 34 years and 230,000 in elderly people over 65 years old. The suicide rate was high suicide age However, attention should be paid to the fact that the suicide rate (28,000 / 100,000) under the age of 16 is on the rise. The ratio of suicide among men and women is 125: 1. There are more violent ways in which male suicides resort to self- Females were more aggressive than males (χ2 = 4.87, P <0 05). Suicides were predominantly mental illness at <55 years of age due to illness, and more than 55% were at age> 55 (χ2 = 12 17, P <0.01). Conclusions The suicide rate of urban adolescents and young adults is on an upward trend, and the male suicide rate is higher than that of females, suggesting that social intervention should be emphasized and the incidence of suicide should be reduced.