突尼斯北部跳楼自杀模式:一项长达16年的尸检研究

IF 1.2 4区 医学 Q3 MEDICINE, LEGAL
Ikram Kort , Ons Hmandi , Syrine Azza Manoubi , Khaled Bchir , Mohamed Bellali , Mohamed Allouche
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引用次数: 0

摘要

跳楼自杀是一种暴力且相对常见的自杀方式。在阿拉伯地区和北非国家,几乎没有关于跳楼自杀的数据。在这项研究中,我们的目的是分析突尼斯北部的跳楼自杀模式。方法收集2005年1月至2020年12月16年间跳高自杀病例的尸检记录。收集的资料包括流行病学特征、病史和尸检观察。结果共收集跳高自杀病例147例。其中男性占69.4%。患者平均年龄41.8±16.4岁(15 ~ 85岁)。58.5%的病例有精神障碍史。精神分裂症是最常见的精神诊断(23.8%),其次是抑郁症(13.6%)。其中27.9%有自杀未遂史。自杀倾向最常发生在私人住宅(70.8%)。平均坠落高度为10.4±7.3 m(范围2 ~ 50 m),最常见的损伤部位为头部(70.1%),其次为胸部(68%)和脊柱(56%)。骨骼损伤主要包括肋骨骨折(75.5%)、脊柱骨折(56%)、颅骨骨折(53.5%)和骨盆骨折(29.3%)。结论有精神病史的青年失业男性跳楼自杀最为常见。这种模式将有助于规划预防性战略。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Patterns of suicide by jumping from height in Northern Tunisia: a 16-year autopsy study

Background

Suicide by jumping from height is a violent and relatively common method of suicide. There is little data on suicide by jumping from height in the Arab region and North African countries. In this study, we aim to analyze the patterns of suicide by jumping from height in Northern Tunisia.

Methods

Autopsy records of all cases of suicide by jumping from height were included over a period of 16 years (January 2005 to December 2020). The collected data included epidemiological characteristics, medical history and autopsy observations.

Results

we collected a total of 147 cases of suicide by jumping from height. Among the cases, 69.4 % were men. The average age of the cases was 41.8 ± 16.4 years (range 15–85 years). A history of psychiatric disorder was reported in 58.5 % of cases. Schizophrenia was the most common psychiatric diagnosis (23.8 %), followed by depression (13.6 %). Among the cases, 27.9 % had a history of previous suicide attempt. The suicidal fall occurred most frequently in a private residence (70.8 %). The average height of the falls was 10.4 ± 7.3 m (range 2–50 m). The most frequent injury site was determined to be the head (70.1 %) followed by the chest (68 %), the spine (56 %). Skeletal trauma mainly included fractures of the ribs (75.5 %), the spine (56 %), the skull (53.5 %) and the pelvis (29.3 %).

Conclusions

Suicide by jumping from height is most common in young unemployed men, with psychiatric history, who jump from a private residence. This pattern would help planning preventive strategies.
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来源期刊
CiteScore
2.70
自引率
6.70%
发文量
106
审稿时长
57 days
期刊介绍: The Journal of Forensic and Legal Medicine publishes topical articles on aspects of forensic and legal medicine. Specifically the Journal supports research that explores the medical principles of care and forensic assessment of individuals, whether adult or child, in contact with the judicial system. It is a fully peer-review hybrid journal with a broad international perspective. The Journal accepts submissions of original research, review articles, and pertinent case studies, editorials, and commentaries in relevant areas of Forensic and Legal Medicine, Context of Practice, and Education and Training. The Journal adheres to strict publication ethical guidelines, and actively supports a culture of inclusive and representative publication.
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