摘要
目的 掌握农村自杀死亡老年人自杀行为特征的第一手资料 ,为预防农村老年人自杀提供依据。方法 采取分层整群抽样 ,随机抽取长沙东部的浏阳市和西部的望城县为研究现场 ,将二县 (市 )所有乡 (镇 )按人均年收入分为经济状况好、中、差三个层次 ,从每层中随机抽取 1～ 2个乡 (镇 )共 8个乡 (镇 )作为研究点 ,以其全部 14 5个行政村 1996～ 2 0 0 0年自杀死亡的 60岁及 60岁以上老年人为对象 ,调查和分析自杀死亡老年人的自杀行为特征 ,对自杀行为特征的性别差异运用 χ2 检验方法进行统计学推断。结果 13 4位自杀死亡的农村老年人中 ,自杀原因以家庭纠纷 ( 4 0 .3 % )、躯体疾病 ( 2 4.6% )和经济困难 ( 11.2 % )多见 ,三者均无统计学性别差异 (P >0 .0 5 ) ;自杀方式以服毒 ( 67.9% )、自缢 ( 2 0 .9% )和投水 ( 9.7% )多见 ,三者性别差异均无统计学意义 (P >0 .0 5 ) ;自杀多发生在 3～ 5月份 ( 2 9.7% )和 8～ 10月份 ( 3 2 .9% )。结论 农村老年人自杀诱因以家庭纠纷最多见 ,自杀方式以服毒最多见 ,自杀多发生在夏秋季。
Objective The main purposes of this study are to collect the first-handed data on suicidal behavior characteristics of rural elderly who committed suicide, to provide reliable scientific data base for preventing suicide among the elderly in rural area. Methods Adopt the method of stratified-cluster sampling. At first, sampled Liuyang city and Wangcheng county from Changsha, the provincial capital of Hunan. Divide all townships of the two counties(cities) into three economic levels according to per capita annual income. Randomly sampled 1～2 townships from each level. Total eight townships were randomly sampled from Liuyang city and Wangcheng county by stratified sampling based on economical status. All sixty year old or over elderlies, who committed suicide from the year 1996 to 2000, from 145 villages of the eight townships, were investigated by self-designed questionnaire. During the study period, we applied a methodology of combining clue investigation with home visiting to study their suicidal behavior characteristics. Results Among the suicide causes, family dispute topped the list(40.3%), followed by diseases(24.6%) and poverty (11.2%), but their gender difference did not have statistical significance(P>0.05). Among the suicide means, taking poison stood first ( 67.9%), hanging themselves (20.9%) and drowning (9.7%) were in the next places, their gender difference were no statistical significance as well (P>0.05). 29.7% of the objects killed themselves from March to May, and 32.9% of the subjects took their own lives from August to October. Conclusion Among the rural elderly, the first-line suicide cause was family dispute, the chief suicide means was taking poison , and the great majority of them killed themselves in Summer or Autumn.
出处
《中国行为医学科学》
CSCD
2003年第4期422-424,共3页
Chinese Journal of Behavioral Medical Science
基金
CMB(96- 656)
关键词
自杀行为特征
自杀死亡
老年人群
农村社区
长沙市
Suicidal behavior characteristics
Committed suicide
Elderly
Rural Community
