臺北市1994-2003年自殺死亡率趨勢及其特徵

Trends in Characteristics of Suicide in Taipei City, 1994-2003

郭千哲(Chian-Jue Kuo) ； 邱震寰(Chen-Huan Chiu) ； 陳喬琪(Chiao-Chicy Chen) ； 湯華盛(Hwa-Sheng Tang) ； 陳映燁(Ying-Yeh Chen) ； 李明濱(Ming-Been Lee)

《北市醫學雜誌》 2卷2期 (2005/02) Pp. 146-156

https://doi.org/10.6200/TCMJ.2005.2.2.04

摘要

Objectives: The study investigated suicide trends over the past decade(1994-2003) and the characteristics of suicides in Taipei City. Methods: To calculate crude suicide rates, we obtained general population data from the Ministry of the Interior, and information on suicides from the Death Certification System of the Department of Health. Due to the aging effect, the suicide rates were adjusted by direct standardization using standard population data from the World Health Organization. Trend analysis was performed to investigate the tendency of suicide rates with the Spearman correlation coefficient as the index. The characteristics of suicides were also analyzed. Results: There was a statistically increasing trend in suicides rates in both Taiwan and Taipei City in the past decade (r=0.988, p＜0.001 vs. r=0.842, p=0.002). The crude suicide rates (persons/100,000) in Taiwan were 6.85 in 1994 and 14.13 in 2003, and standardized suicide rates were 6.36 and 11.53. Due the the aging effect, the changed ratio for the crude suicide rate was higher than that of ; the standardized rate (2.06 vs. 1.81) in Taiwan, and similar figures were noted in Taipei City (1.86 vs. 1.65). The changed ratio for females was also higher than that for males (2.28 vs. 1.71). Comparisons between the two five year intervals (1994-1998 vs. 1999-2003) showed that the age subgroups (years old) with ratios which increased more than 50% included men from 35-44 and 45-54 and women over 85. In Taipei city (N=2402), the highest proportion(20.5%) of suicides occurred in the 35-44 year old subgroup. The locations of the deaths were other places(41.3%), homes (35.2%), and hospitals(23.5%), in descending order. Conclusion: The causes for increased suicide trends included the aging effect and other factors. The oldest age subgroup in women and the middle age subgroups in men had the highest changed ratios. To help prevent suicides, notification of suicide attempts should not be limited to the medical system.

關鍵字

自殺 ； 趨勢 ； 臺北市 ； 標準化

並列摘要

Objectives: The study investigated suicide trends over the past decade(1994-2003) and the characteristics of suicides in Taipei City. Methods: To calculate crude suicide rates, we obtained general population data from the Ministry of the Interior, and information on suicides from the Death Certification System of the Department of Health. Due to the aging effect, the suicide rates were adjusted by direct standardization using standard population data from the World Health Organization. Trend analysis was performed to investigate the tendency of suicide rates with the Spearman correlation coefficient as the index. The characteristics of suicides were also analyzed. Results: There was a statistically increasing trend in suicides rates in both Taiwan and Taipei City in the past decade (r=0.988, p＜0.001 vs. r=0.842, p=0.002). The crude suicide rates (persons/100,000) in Taiwan were 6.85 in 1994 and 14.13 in 2003, and standardized suicide rates were 6.36 and 11.53. Due the the aging effect, the changed ratio for the crude suicide rate was higher than that of ; the standardized rate (2.06 vs. 1.81) in Taiwan, and similar figures were noted in Taipei City (1.86 vs. 1.65). The changed ratio for females was also higher than that for males (2.28 vs. 1.71). Comparisons between the two five year intervals (1994-1998 vs. 1999-2003) showed that the age subgroups (years old) with ratios which increased more than 50% included men from 35-44 and 45-54 and women over 85. In Taipei city (N=2402), the highest proportion(20.5%) of suicides occurred in the 35-44 year old subgroup. The locations of the deaths were other places(41.3%), homes (35.2%), and hospitals(23.5%), in descending order. Conclusion: The causes for increased suicide trends included the aging effect and other factors. The oldest age subgroup in women and the middle age subgroups in men had the highest changed ratios. To help prevent suicides, notification of suicide attempts should not be limited to the medical system.

並列關鍵字

suicide ； trend ； Taipei city ； standardization