四川省1993-2002年自杀死亡的流行病学分析

目的对四川省综合疾病监测系统1993-2002年自杀死亡监测资料进行流行病学分析,以期掌握自杀死亡概况,为发展预防和控制死亡的策略提供依据。方法采用EXCEL录入整理数据,用PEMS3.0对1993-2002年10年的自杀死亡监测资料做流行病学分析结果10年平均自杀死亡率14.72/10万,女性高于男性,农村高于城市,15～25岁及60岁以后自杀死亡率较高,自杀方式以服毒和上吊居多,原因以家庭纠纷和久病不愈居多,时间上以春夏居多。结论四川省综合疾病监测系统自杀死亡率低于估计的全国自杀死亡率;自杀预防控制重点人群为女性,重点地区为农村,重视青少年和中年人群的预防,主要策略为发展社区卫生、加强健康教育、加强农药管理。

Epidemiological Analysis on Suicide in DSPs of Sichuan, 1993 -2002

Object To analyse the surveillance data of suicide from disease surveillance point system (DSPs) of Sichuan in 1993-2002 and to discuss measures of suicide control. Methods EXCEL and PEMS3.0 were used to carry out the epidemiologic analysis on suicide in Sichuan in 1993-2002. Results The suicide rate in Sichuan DSPs was 14.72 per 100 000, and female suicide cases were more than male ones. Suicide cases in rural areas were more than those in urban areas. The risk ages were between 15 and 25 and over 60. Most suicide cases chose the means of taking poisons or hanging themselves because of familial bother or long time disease. Most suicide cases happened in spring and summer. Conclusions We should focus our attention on women, rural areas, young and middle-age people. The best way would be enhancing health and education, pesticide management and developing medicine in grass roots.