日本东京急诊室收治的年轻严重自杀企图者不断变化的特征。

IF 1.2 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

Journal of Nippon Medical School Pub Date : 2024-01-01 DOI:10.1272/jnms.JNMS.2024_91-514

Ryuichiro Narishige, Yasushi Otaka, Amane Tateno

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引用次数: 0

摘要

背景：日本青少年自杀人数的下降趋势在2017年转为持平/上升趋势。为了确定这一变化如何反映在年轻自杀企图者身上，我们调查了急诊室收治的年轻自杀企图者的特征变化：研究对象为 2010 年 1 月 1 日至 2021 年 12 月 31 日期间入住日本医科学校医院重症医学中心的 30 岁以下自杀未遂者。我们从病历中回顾性地检查了自杀未遂的手段、社会人口学数据、精神科诊断以及自杀未遂的原因和动机。我们对 2017 年后与 2017 年前的自杀未遂者进行了比较，并进行了统计分析：2017年之前，30岁以下自杀未遂者的比例为27.9%（513人中有143人），2017年之后为38.0%（347人中有132人），比例显著上升。从2017年到2021年，30岁以下的女性自杀企图者人数和吸毒过量的比例都有显著增加：2017 年开始后，30 岁以下自杀企图者的比例明显高于 2017 年之前，这可能是因为药物过量的增加。

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Changing Characteristics of Young Severe Suicide Attempters Admitted to an Emergency Room in Tokyo, Japan.

Background: The decreasing trend in the number of young suicides in Japan changed to a flat/increasing trend in 2017. To identify how this change was reflected in young suicide attempters, we investigated changes in the characteristics of young suicide attempters admitted to our emergency room.

Methods: The subjects were suicide attempters younger than 30 years admitted to the Critical Care Medical Center of Nippon Medical School Hospital between January 1, 2010, and December 31, 2021. The means of suicide attempt, sociodemographic data, psychiatric diagnoses, and causes and motives of suicide attempts were retrospectively examined from medical records. We compared post-2017 to pre-2017 suicide attempts and performed a statistical analysis.

Results: The proportion of suicide attempters younger than 30 years was 27.9% (143 of 513) before 2017 and 38.0% (132 of 347) after 2017, a significant increase. From 2017 to 2021, there was a significant increase in the number of female suicide attempters younger than 30 years and in the percentage of drug overdoses.

Conclusions: The proportion of suicide attempters younger than 30 years was significantly higher after the start of 2017 than before 2017, possibly because of an increase in drug overdoses.

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来源期刊

Journal of Nippon Medical School MEDICINE, GENERAL & INTERNAL-

CiteScore

1.80

自引率

10.00%

发文量

118

期刊介绍： The international effort to understand, treat and control disease involve clinicians and researchers from many medical and biological science disciplines. The Journal of Nippon Medical School (JNMS) is the official journal of the Medical Association of Nippon Medical School and is dedicated to furthering international exchange of medical science experience and opinion. It provides an international forum for researchers in the fields of bascic and clinical medicine to introduce, discuss and exchange thier novel achievements in biomedical science and a platform for the worldwide dissemination and steering of biomedical knowledge for the benefit of human health and welfare. Properly reasoned discussions disciplined by appropriate references to existing bodies of knowledge or aimed at motivating the creation of such knowledge is the aim of the journal.