Objective To compare the characteristics of suicides in the four main demographic groups： urban males, urban females, rural males and rural females in order to help clarify the demographic pattern of suicides in Chin...Objective To compare the characteristics of suicides in the four main demographic groups： urban males, urban females, rural males and rural females in order to help clarify the demographic pattern of suicides in China. Methods A detailed psychological autopsy survey instrument was independently administered to 895 suicide victims in family members and close associates from 23 geographically representative locations from around the country. Results Pesticide ingestion accounted for 58% （519） of all suicides and 61% （3181519） of deaths were due to unsuccessful medical resuscitation. A substantial proportion （37%） of suicide victims did not have a mental illness. Among the 563 victims with mental illness, only 13% （76/563） received psychiatric treatment. Compared to other demographic groups, young rural females who died from suicide had the highest rate of pesticide ingestion （79%）, the lowest prevalence of mental illness （39%）, and the highest acute stress from precipitating life events just prior to the suicide. Contusion Many suicides in China are impulsive acts of deliberate self-harm following acute interpersonal crises. Prevention of suicides in China must focus on improving awareness of psychological problems, improving mental health services, providing alternative social support networks for managing acute interpersonal conflicts, limiting access to pesticides, and improving the resuscitation skills of primary care providers.展开更多
The aim of this research is to propose an innovative technique of the psychological autopsy.Compared to the classic MAPI model,our procedure is structured on each single case by adapting the interview to the environme...The aim of this research is to propose an innovative technique of the psychological autopsy.Compared to the classic MAPI model,our procedure is structured on each single case by adapting the interview to the environmental circumstances,the socio-cultural characteristics of the subject examined and to the weapon used in the criminal act.We believe that this approach improves both confidence and compliance of the interviewee and the chances of obtaining information that could escape a standardized investigation.In one of the cold cases we studied,this new protocol led to the discovery of biological material coming from the crime scene,which had been secretly hidden by the subject for over 50 years.The aim of our work was also to coordinate the activity of the interviewer,trying to avoid repetition in the interviews that could lead to an alteration of the answers to the questions asked.In the first phase,questions with open-ended responses were preferred.In later stages,we asked specifically worded questions.We were careful not to formulate questions that had already been asked.It must be emphasized that for each case of psychological autopsy only one operator handled the interview.展开更多
基金This project was supported by grants from the Ford Foundation, the Save the Children Fund, and Befrienders International.
文摘Objective To compare the characteristics of suicides in the four main demographic groups： urban males, urban females, rural males and rural females in order to help clarify the demographic pattern of suicides in China. Methods A detailed psychological autopsy survey instrument was independently administered to 895 suicide victims in family members and close associates from 23 geographically representative locations from around the country. Results Pesticide ingestion accounted for 58% （519） of all suicides and 61% （3181519） of deaths were due to unsuccessful medical resuscitation. A substantial proportion （37%） of suicide victims did not have a mental illness. Among the 563 victims with mental illness, only 13% （76/563） received psychiatric treatment. Compared to other demographic groups, young rural females who died from suicide had the highest rate of pesticide ingestion （79%）, the lowest prevalence of mental illness （39%）, and the highest acute stress from precipitating life events just prior to the suicide. Contusion Many suicides in China are impulsive acts of deliberate self-harm following acute interpersonal crises. Prevention of suicides in China must focus on improving awareness of psychological problems, improving mental health services, providing alternative social support networks for managing acute interpersonal conflicts, limiting access to pesticides, and improving the resuscitation skills of primary care providers.
文摘The aim of this research is to propose an innovative technique of the psychological autopsy.Compared to the classic MAPI model,our procedure is structured on each single case by adapting the interview to the environmental circumstances,the socio-cultural characteristics of the subject examined and to the weapon used in the criminal act.We believe that this approach improves both confidence and compliance of the interviewee and the chances of obtaining information that could escape a standardized investigation.In one of the cold cases we studied,this new protocol led to the discovery of biological material coming from the crime scene,which had been secretly hidden by the subject for over 50 years.The aim of our work was also to coordinate the activity of the interviewer,trying to avoid repetition in the interviews that could lead to an alteration of the answers to the questions asked.In the first phase,questions with open-ended responses were preferred.In later stages,we asked specifically worded questions.We were careful not to formulate questions that had already been asked.It must be emphasized that for each case of psychological autopsy only one operator handled the interview.
