厦门市居民2005—2014年自杀死亡特征分析

Analysis on characteristic of suicide from 2005 to 2014 in Xiamen

目的探讨厦门市居民自杀死亡特征,为厦门市自杀预防控制工作提供依据。方法收集整理2005—2014年厦门市居民自杀死亡资料计算死亡率等评价指标,采用多因素Logistic回归分析自杀死亡的影响因素。结果 2005—2014年,厦门市居民自杀死亡率为8.44/10万（1 510/17 889 250）,标化死亡率为8.43/10万;男性死亡率为9.08/10万（814/8 966 040）,是女性[7.80/10万（696/8 923 210）]的1.16倍;2005—2014年厦门市居民男性、女性和总体自杀死亡率均存在平稳下降趋势,年均分别下降3.84%、5.90%、4.86%;男性（OR=1.24,95%CI：1.12~1.38）、年龄越大（OR=1.21,95%CI：1.19~1.22）、生活在农村（OR=0.38,95%CI：0.35~0.42）和2005—2009年（OR=0.80,95%CI：0.72~0.88）可能是自杀死亡的危险因素。结论厦门市居民自杀仍保持较高态势,不能放松警惕,应以农村、男性、老年人群作为重点关注对象,加强自杀预防控制工作。

Objective To explore the characteristic of suicide in Xiamen,and to provide the basis data on preventing suicide in Xiamen.Methods The data of residents in Xiamen dying of suicide from 2005 to 2014 was collected and cleared up to calculate the evaluation indexes such as the mortality rate.The multiple Logistic regressions were used to analyze the impact factors associating with suicide.Results The average mortality rate of suicide in Xiamen from 2005 to 2014 was 8.44/105,of which in male（8.96/105,814/8 966 040） was 1.16 times as that in female（7.80/105,696/8 923 210）.The suicide rates of male,female and overall had steady declined,the average percentages declined 3.84%,5.90%,4.86%,respectively.Male（OR=1.24,95%CI：1.12-1.38）,old age（OR=1.21,95%CI：1.19-1.22）,living in the rural（OR=0.38,95%CI：0.35-0.42） and living in years from 2005 to 2009（OR=0.80,95%CI：0.72-0.88） may be the risk factors of suicide.Conclusion The mortality of suicide in Xiamen still stay in high level.We should pay more attentions on preventing and curing of suicide cancer especially on the rural,male and elderly population.