- 期刊
臺北市1971-2004年方法別自殺死亡率變化趨勢
Changes of Method-specific Suicide Trends in Taipei City, 1971-2004
摘要
目的：分析臺北市1971-2004年，性別、年齡別與方法別的自殺死亡率變化。方法：死因資料係來自1971-2004年，衛生署的死因統計資料庫。為減少自殺死亡率的低估，將國際疾病分類標準中，外因碼為E950-E959和E980-E989的個案定義為「自殺死亡」，進行分析。結果：自殺死亡率的男女比約1.5-2。年齡愈大，自殺死亡率愈高，男女皆然。1990s起，25-64歲男性自殺死亡率大幅增加。1971-1990，上吊與固液體中毒是最常見的自殺死亡方法。自1993起，其他方法的自殺死亡率逐漸增加。2002-2004三年間男性自殺死亡常見方法是上吊(33%)、一氧化碳中毒(23%)、跳樓(18%)；女性則是跳樓(30%)、上吊(29%)、一氧化碳中毒(15%)。結論：跳樓和一氧化碳中毒自殺，是新興的自殺死亡方法。我們應針對此現象深入研究，提供實證資料，制定自殺防治策略。
並列摘要
Background and Purpose: The aim of the study was to examine changes of sex-, age- and method-specific suicide trend in Taipei City, in 1971-2004. Methods: Annual suicide deaths from 1971 through 2004 in Taipei City were obtained from the national mortality data files. We defined suicides deaths coded E950-E959 and E980-E989 to include the suicide and undetermined deaths. Age-adjusted suicide rates by sex and five age groups (i.e., 0-14 years, 15-24 years, 25-44 years, 45-64 years, and 65 years and above) were calculated to examine the trend changes. Results: The male-to-female ratio of suicide rates was around 1.5 to 2 in the study periods. Increased suicide rates with age were found in both sexes. A substantial increase in suicide mortality rates was observed among males aged 25-64 years since 1990s. Hanging and poisoning with solids/liquids were the most two common methods causing suicide deaths between 1971 and 1990. Suicide rates by other methods increased since 1993. In 2002-2004, the most common methods causing suicide deaths were hanging (33%), carbon monoxide poison (23%) and jumping (18%) in males. In females, the most common methods were jumping (30%), hanging (29%) and carbon monoxide poison (15%). Conclusion: Jumping and carbon monoxide poison became more popular in the recent three years. Further studies focusing on these issues are needed to provide evidence-based data for making suicide prevention strategies.