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Abstract
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AIM: To investigate the epidemiology, life lost, economice and psychological burden of suicide in the country of Jinzhou and Zhuanghe areas in Dalian city.
METHODS: The targets came from 66 cases of suicide death in prefectural hospitals and village clinics, which occurred in the country of Zhuanghe and Jinzhou in Dalian city from February 2000 to July 2001. Sixty-six people matched in sex, age and inhabited area were selected as controls. The whole informer accounted for 330 and they were all the relatives and friends of suicides. The present study described the years of life lost demographically, estimated the economic impact of suicide deaths on their families and society microcosmically and macroscopically respectively, and analyzed the psychological effects of suicide deaths on the relatives and friends by using the psychological scale.
RESULTS: 1 The epidemiological features in Jinzhou and Zhuanghe in Dalian city listed as follows: For the 66 suicide deaths reported, the rate of male to female was 2.67: 1. The curve of age showed two pinnacles: 15-34 years and over 60 years. The family outcome was less in the suicide group than the control group. 2 The potential years of life lost(PYLL) in the 66 cases of suicide were 1 949.22 person years, averagely 29.53 years for one case, which was the severest in the group of 35-39 years. Standard expectancy PYLL counted up to 2 560.16 person years, and the severest was the group of 25-55 years. Disability adjusted life years (DALY) were 1 401.48 person years, and the severest was the group of 35-39 years. 3 For the 66 suicide deaths reported, direct cost for the future family income was ¥ 20 275 470.83, averagely ¥ 307 204.10 for each family. The loss of family income was the severest in the group of 35-39 years. According to the method of Barnum, the direct cost for social economic was ¥ 62 379 709.61, averagely ¥ 945 147.115 2 for each suicide case. The suicide group of 15-44 years resulted in the most pecuniary loss. The total loss of social economic due to DALY was ¥ 19 732 838.40, averagely ¥ 298 982.40 for each case. The suicide group of 15-44 years resulted in the most pecuniary loss. 4 The psychological impact due to suicide death and its related factors were studied. Informers showed different attitudes toward the death of different gender. To women, the attitude was more tolerant than that to men. Female informers had no difference in the attitude to the suicide death of different gender; however, male informers were more tolerant to the female suicide. People accepted the suicide resulting from incurable disease more and that resulting from bankruptcy less. The relatives showed the strongest disagreement to the action of suicide and higher frequency of the occurrence of depression than the others.
CONCLUSION: The most significant impact of a suicide death on the economic cost of families in the country of Zhuanghe and Jinzhou in Dalian city is great, suicide deaths affect society by consuming both human lives and economic resources, and suicide puts psychological pressure on relatives. It is important to study the epidemiology, the economical burden and the psychologyical burden of suicide in order to offer a backgroud for establishing the strategy of suicide prevention.
Language: zh |