1990-2019 年捷克共和国、斯洛伐克、匈牙利和波兰的自杀人数：欧洲和全球背景下的流行病学模式和趋势。

IF 4.7 3区医学 Q1 MEDICINE, RESEARCH & EXPERIMENTAL

Archives of Medical Research Pub Date : 2024-10-19 DOI:10.1016/j.arcmed.2024.103100

Alena Lochmannová , Marek Majdan , Miroslav Šafr

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引用次数: 0

摘要

背景：目的：比较 1990-2019 年捷克共和国、斯洛伐克、匈牙利和波兰的自杀流行病学模式和趋势，并在欧洲和全球背景下对其进行分析：对 1990-2019 年捷克共和国、斯洛伐克、匈牙利、波兰、西欧和全球的自杀趋势进行了分析。所有数据均来自 2019 年全球疾病负担研究。按照性别和年龄（0-14 岁、15-49 岁、50-69 岁、70 岁以上）进行分层，分析了自杀导致的死亡人数和年龄标准化比率以及生命损失年数（YLL）：2019年，全球共发生759028起自杀事件，中欧有17408起（2.3%）。与全球和西欧的水平相比，男性所占比例要大得多（例如，分别为82%和69%和75%）。匈牙利的自杀率最高（19.7/100,000），斯洛伐克最低（12.8）；中欧的自杀率高于全球（15.2 vs. 9.8）和西欧（11.4）。所有国家的发病率都在稳步下降，尤其是匈牙利。在捷克共和国，我们发现 70 岁及以上人群的自杀率相对较高：结论：在所分析的国家中，自杀死亡率一直在下降，但与全球和地区的估计相比，自杀的一些特点和趋势，如男性自杀比例大幅提高或老年人自杀死亡率高，需要政府在社区参与下协调采取专门的预防行动。

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Suicides in Czech Republic, Slovakia, Hungary, and Poland in 1990–2019: Epidemiological patterns and trends in European and Global context

Background

Suicides are a major public health problem with serious consequences for societies.

Aim

To compare epidemiological patterns and trends of suicides in the Czech Republic, Slovakia, Hungary, and Poland in 1990–2019, and analyze them in the European and global context.

Methods

A trend analysis was conducted in Czech Republic, Slovakia, Hungary, Poland, in Western Europe and on global level for 1990–2019. All data were obtained from the Global Burden of Diseases study 2019. Numbers and age-standardized rates of deaths and Years of Life Lost (YLL) due to suicides were analyzed, stratified by sex and age (0–14 years old, 15–49 years old, 50–69 years old, 70+ years).

Results

In 2019, 759,028 suicides occurred globally, 17,408 (2.3%) in Central Europe. The proportion of males was substantially larger, compared to the global and Western European levels (E.g., 82 vs. 69% and 75%, respectively). The highest rates of suicide were in Hungary (19.7 per 100,000), lowest in Slovakia (12.8); the rate in Central Europe was higher than the global rate (15.2 vs. 9.8), and the rate in Western Europe (11.4). A steady decline of rates was observed in all countries, particularly in Hungary. In Czech Republic we found an increasing relative importance of suicides among people 70 years and older.

Conclusions

Death rates due to suicides have been declining in the analyzed countries, but some characteristics and trends when compared to global and regional estimates, such as substantially higher proportion of male suicides or high death rates among the elderly warrant specifically tailored preventative action coordinated by governments with community involvement.

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来源期刊

Archives of Medical Research 医学-医学：研究与实验

CiteScore

12.50

自引率

0.00%

发文量

审稿时长

28 days

期刊介绍： Archives of Medical Research serves as a platform for publishing original peer-reviewed medical research, aiming to bridge gaps created by medical specialization. The journal covers three main categories - biomedical, clinical, and epidemiological contributions, along with review articles and preliminary communications. With an international scope, it presents the study of diseases from diverse perspectives, offering the medical community original investigations ranging from molecular biology to clinical epidemiology in a single publication.