2013-2022年印第安纳州艾伦县自杀死亡回顾分析

Kathleen Sherman, Aaron Williams, Jana Sanders, Thomas Gutwein
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摘要

过去二十年来,全国和各州的自杀率一直呈上升趋势。在地方层面观察到的自杀模式却鲜为人知,在研究中的代表性也不足。由于地方政府会对社区的资源分配产生很大影响,因此揭示地方自杀模式有助于促进针对高危人群的预防工作。本研究旨在分析艾伦县 2013-2022 年间自杀事件中观察到的人口统计模式,重点关注年龄组和受教育程度。在过去十年中,艾伦县共有 604 人死于自杀,数据收集工作已经完成。收集过程包括通过死亡证明和验尸官档案记录各种人口统计数据。在该县,自杀人数在过去十年中有所增加。结果显示,男性占自杀总人数的比例超过了 3:1,53% 的自杀者的伤害方式是枪伤,高中或以下学历的死者占自杀总人数的 62%。这些结果与全国范围内的研究结果一致。此外,在过去 10 年中,20-34 岁和 35-54 岁年龄组的自杀人数一直最多,而且这些自杀事件多发生在春末夏初。在 20-34 岁年龄组中,更有可能发生枪伤自杀(p = 0.000133)。与非西班牙裔(p = 0.000027)或白人(p = 0.003314)相比,少数民族和种族群体的死者受教育程度较低。这些信息可以提供给当地学校,希望能为高危人群实施更有针对性的预防措施。了解医疗保健领域的自杀模式可以改善对患者的护理。最后,公共卫生机构可以利用这些发现来调整当前的卫生举措,以适应艾伦县的需求。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Retrospective Analysis of Suicide Deaths in Allen County Indiana, 2013 – 2022
Suicide rates at a national and state level have been on the rise over the past two decades. Patterns observed at the local level is less understood and underrepresented in research. Since local government can have a large impact on resource allocation in a community, revealing local suicide patterns could help facilitate targeted preventative efforts for at-risk populations. This study aims to analyze demographic patterns observed in Allen County suicides from 2013 –2022, focusing on age groups and education attainment. Data collection was completed on the 604 individuals who died by suicide in Allen County over the past decade. The collection process included documenting various demographics accessed through death certificates and coroner’s files. Within the county, suicide numbers increased over the decade. Results showed that males represented more than a 3:1 ratio of total suicides, a gunshot wound was the method of injury for 53% of all suicides, and decedents with a high school degree or less represented 62% of suicides within the population. These results echo what research has shown at the national level. Additionally, the 20-34 and the 35-54 age groups produced the greatest number of suicides consistently over the 10 years, and these suicides occurred most often in late spring and early summer. Within the 20-34 age group, individuals were more likely to commit suicide by gunshot wound (p = 0.000133). Decedents of minority ethnic and racial groups had lower education attainment compared to non-Hispanic (p = 0.000027) or white (p = 0.003314) individuals. This information could be provided to local schools with the hopes of implementing more targeted preventative measures for at-risk groups. Knowledge of suicide patterns in healthcare could lead to improved care for patients. Finally, public health entities can use these findings to adapt current health initiates to fit the needs of Allen County.
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