Adult Suicide in Hong Kong SAR香港的成人自杀课件.ppt

* ... * ... * ... * ... * ... Adult Suicide in Hong Kong SAR香港的成人自杀 Sandra Chan Associate Professor Department of PsychiatryThe Chinese University of Hong Kong 香港中文大学 精神科学系陈秀雯副教授 * 18年 Completed suicide自杀已遂 * 18年 Sources of Mortality statistics in HK-A surveillance system enforced by Judicial System As part of the Judicial System of HK, there exists a long-standing mandatory death enquiry system (Coroner’s Inquest) to investigate : “Dead-on-arrival” at the Emergency Room; “Deaths occurring within 24 hours of admission to hospital”; Suspected murder; Suspected suicide; Dead body found in public places or private premises; Deaths occurring in hospital anytime after admission that cannot be satisfactorily explained by known medical conditions; The Coroner’s court works closely with the Police Department, Forensic Pathologist and Clinical Pathologist who gather information related to the circumstances surrounding death. * 18年 香港死亡率统计来源—司法制度中执行的监察系统 作为香港司法制度中的一部份，长期以来存在着强制死亡查询系统（呈报死亡个案）去调查： I)在急症室「到达时已经死亡」； II) 入院二十四小时内死亡； III) 怀疑谋杀； IV) 怀疑自杀； V) 在公众或私人地方发现尸体； VI) 住院期间任何死亡(不能用已知的医疗情况合理地解释 ) 死因裁判法庭与警方、法医及病理学家合作收集有关死亡情况的资料。 ? * 18年 * 18年 Closer look at trend in Suicide Rates (by Age Groups) from 1990-2005 Census and Statistics Dept of HKSAR * 18年 Latest official suicide statistics (up to 2005) Suicide rate per 100,000 Gender Ratio (M/F) All 13.6 17.6:9.9= 1.77:1 65 and over 29.9 41.6:20.7= 2:1 Under 65 11.3 14.5:8.4= 1.73:1 * 18年 Leading causes of death in HK香港主要死亡原因 Malignant neoplasm 恶性肿瘤 - 31.8% Cardiac Diseases 心脏病 - 15.7% Cerebrovascular Diseases 脑血管疾病 - 9.2% Pneumonia 肺炎 - 9.9% COPD慢性阻塞性肺病 - 5.7% Renal Diseases肾病 - 3.2% Suicide自杀 - 2.8% Others其它 - 7.5% * 18年 WHO Suicide Statistics世卫自杀统计 According to the latest statistics from WHO, the average global suicide rate is 14/100,000.全球平均自杀率为14/100,000 HK ranks 24th while China (rates in selected areas) ranks 27th among 100 countries.在100个国家中，香港排行第二十四，而中国（选择地区）排行第二十七。 All top 8 ranking countries