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殺人自殺の流行病学について
P M Marzuk1, K Tardiff, C S Hirsch
1Department of Psychiatry, Cornell University Medical College, New York, NY 10021.
JAMA
|June 17, 1992
まとめ
殺人自殺は,暴力的な出来事であり,しばしば嫉妬や絶望によって駆り立てられ,パートナーや子どもを標的にする加害者が関与しています. その流行病学を理解することは,予防戦略の開発に不可欠です.
科学分野:
- 法医学精神医学は,法医学精神医学である.
- クリミノロジー 犯罪学
- 公衆衛生は公衆衛生である.
背景:
- 殺人自殺は,公衆衛生に重大な影響を及ぼす複雑な現象である.
- 既存の研究は,これらの出来事に関連した様々な人口統計学的および精神病学的要因を強調しています.
研究 の 目的:
- 殺人自殺の疫学,パターン,および主要な決定因子をレビューする.
- 高リスクの個人を特定するための戦略について議論する.
主な方法:
- MEDLINE,PsychINFO,およびEMBASEのデータベースの包括的な文献検索を行いました.
- 関連する記事,本,単著の掲載.
- ケース・コントロール研究,記述的疫学調査,および症例シリーズのレビュー.
主要な成果:
- 年間発生率は10万人当たり0.2-0.3であり,年間1000~1500人の米国人死亡を引き起こしている.
- 犯人は若い男性 (嫉妬),うつ病の母親,絶望的な老人などです.
- 被害者は通常,女性パートナーや子供であり,動機には性的所有権や母親の救済の幻想が含まれます.
結論:
- 殺人自殺は,自殺,家庭内殺人,大量殺人とは異なるが重複する独特の流行病学的ニッチを占めています.
- 現象学的な型学は,人口統計,動機付け,状況などを共有しています.
- 標準化された定義,分類システム,監視の欠如は,予防戦略の開発を妨げています.
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