自杀及蓄意自伤-中文稿.ppt

学龄儿童自杀与蓄意自伤 温州医学院附属第一医院精神卫生科 杨闯 自杀已经成为全世界的流行病 在中国，每年： 有287,000人死于自杀； 1500,000人因家人或亲友自杀出现长期的心理创伤； 162,000小于18岁的孩子经历过父亲或母亲死于自杀； 2000,000人自杀未遂。 一个来自儿童医院的报道 Self Harm Cases Presenting to BC Children’s Hospital 1997-2002 Mhairi Nolan, CHIRPP Coordinator, Health Canada, BCIRPU Kate Turcotte, Social Science Researcher, BCIRPU Ian Pike, Director, BCIRPU 不同年龄段致死原因（BC, 1998-2002）. Five-year age specific mortality rates (per 100,000 population) due to suicide, BC, 2000-2004 (VISTA) 不同年龄在5年内因自杀/自伤的就诊情况 (每10万人的发生率), BC, 1996/1997-2000/2001 (BC Health Data Warehouse) 男性青年因自伤而就诊的情况(每10万人的发生率), BC, 1989/90-2000/01. (BC Health Data Warehouse) 女性青年因自伤而就诊的情况(每10万人的发生率), BC, 1989/90-2000/01. (BC Health Data Warehouse) Aim BC医院5-19岁故意自伤包括: 自杀姿态 自杀企图 以吞食、刀切、焚烧和上吊为手段的自伤 Methods 自杀姿态 自杀企图 吞食（异物、毒物） 刀切 焚烧和上吊 Results - Overall 自伤类型, ages 5-19 years, CHIRPP 1997-2002 自伤类型,除外上吊和自焚 by age group (years), CHIRPP 1997-2002 自杀姿态 自杀姿态 Location: Predominantly at home (61.5%) Unspecified for 26.9% Mechanism of Injury: Ingestion (73.1%), 26.3% of these acetaminophen Cutting (26.9%), using razors/shavers, safety pins, nails/screws/bolts/ tacks, glass or mirrors 自杀姿态 69.2% classified as poisoning or toxic effect 19.2% classified as open wounds of the wrist or lower leg Remainder included superficial injuries or no injury detected 自杀企图 自杀企图 Location: Predominantly at home (49.5%) Unspecified or missing (39.8%) Mechanism of Injury: Ingestion (75.3%), 30.0% of these acetaminophen alone Cutting (14.0%), using knives (46.1%), razors/shavers and scissors Strangulation (5.4%), involved belts, clothing, rope/string and pet supplies 服用不同药物（物质）在自杀企图中的百分比ages 5-19 years, CHIRPP 1997-2002 自杀企图 80.6% of attempted suicides classified as poisoning or toxic effect 12.9% classified as open wounds of the forearm or wrist 服用药物（物质）自杀/自伤 服用药物（物质）自杀/自伤 Location: Predominantly at home (41.1%) Other/unspecified (36.7%) Remaining in other homes, institutional homes/hospital, school, and on highway/other road (