- 期刊
臺北市自殺企圖者之特徵
Characteristics of Suicide Attempters in Taipei City
摘要
目的：本研究目的在探討臺北市自殺企圖者臨床特徵。方法：本研究分析民國九十二年九月二十六日至民國九十五年八月三十一日止，臺北市各醫療院所通報至臺北市自殺防治研究發展中心之自殺企圖者共7,970人。將自殺企圖者性別、年齡、婚姻狀況、教育程度、自殺方法(E950-E959)與簡氏症狀量表(Brief Symptom Rating Scale, BSRS-5)等資料進行統計分析。結果：自殺企圖者中女性人數為男性2倍之多，而單次自殺共有7,175人(90.0%)，而重複自殺者共795人(10.0%)。個案教育程度集中在6至12年之間(66.1%)，其次是大於12年(19.8%)。目前或曾經於精神科就醫以情感性疾患(75.8%)最多，其次才是精神分裂症(8.3%)。男性平均年齡為38.5±18.2歲，女性則為35.2±14.0歲，有統計上顯著差異。個案年齡層集中在25至44歲(47.8%)和25歲以下(28.5%)。單身、離婚或分居及無業為自殺危險因子，且不同性別的婚姻狀態有顯著差異存在。個案大多與家人同住者(87.2%)，與國外研究結果有所不同。自殺原因主要以感情(58.5%)、經濟(22.1%)與家庭衝突(11.4%)為主。簡氏症狀量表(BSRS-5)以總分6分作為分界點來評量個案的精神狀態，小於6分共有1,259人(57.4%)，大於6分的則有934人(42.6%)，在不同性別間並無顯著差異。結論：自殺企圖個案中，以情感性疾患與精神分裂症居多。男女在年齡上有顯著性差異，且多數個案是與家人同住。期望本研究結果有助於我們對本市自殺企圖者有進一步認識，進而找出有效自殺防治之道。
並列摘要
Background & Purpose: The Aim of this study was to investigate the characteristic of suicide attempts in Taipei city. Methods: The study population was consisted of subjects whose suicidal attempt was reported to the Taipei Suicide- Prevention Research Center by the emergency services of hospitals in Taipei City between September 26,2003 and August 31,2006 (n=7,970). We compile and analyze the statistics of sexes, ages, levels of education, suicidal ways, and Brief Symptoms Rating Scale (BSRS-5). Results: Female cases were twice than male of suicide attempts. 7,175 people were simplex suicide (90.0%), and 795 people were repeated suicide (10.0%). The most education level was between six and twelve years (66.1%) and above twelve years (19.8%). Patients who had visited psychiatric hospital were mood disorders (75.8%) and the next were Schizophrenia (8.3%). Average in ages of male was 38±18.2 year-old, and female was 35.2±14.0 year-old; there was no significant difference in both sexes. The levels of age centralize between 25 year-old and 44 year-old (47.8%), and below 25 year-old (28.5%). The risk factors of suicide were single, divorce, separation, and unemployment. The remarkable diversity exists in the sexes of different sexes. Most of the suicidal attempters live with their family (87.2%). This information was distinguished from foreign study. The main suicidal methods were overdose and cutting. The principal suicidal factors major in emotion (58.5%), economic (22.1%), and family conflicts (11.4%). BSRS-5 was demarcated by 6 grades and estimates the spiritual situation. 1259 people were less than 6 grades, and 934 people were more than 6 grades. There was no significant difference in both sexes. Conclusion: Mood disorders were the main diagnosis of cases with psychiatric history. We hope this research can help us get the further recognition of suicidal attempter in Taipei, and then we can find out the effective method to prevent suicide.