与美国农村地区死者多重死亡自杀相关的因素
Victor A Soupene1,2, Timothy Hays1, Jonathan Davis3
1Department of Emergency Medicine, University of Iowa Health Care, Iowa City, Iowa, USA.
概括
农村地区的多人死亡自杀通常涉及精细的计划,相互依赖,无法忍受的健康状况和社会绝望. 解决财政资源,获得医疗保健和预防慢性疾病是减少这些悲惨事件的关键.
科学领域:
- 公共卫生 公共卫生
- 犯罪学 犯罪学
- 社会学 社会学 社会学
背景情况:
- 多重死亡自杀,定义为在单一事件中发生的两起或多起自杀,代表了一种独特的现象,需要进行具体调查.
- 美国的农村人口面临着可能导致自杀率的独特挑战,需要有针对性的研究.
研究的目的:
- 确定导致美国农村县多重死亡自杀的情况和潜在主题.
- 分析执法和验尸官/验尸医师的叙述,以了解这些事件的背景.
主要方法:
- 利用了2013-2021年国家暴力死亡报告系统 (NVDRS) 的数据.
- 使用联邦信息处理代码与农村-城市连续代码连接的识别农村遗体.
- 在叙事报告中使用诱导性内容分析来识别多重死亡自杀的关键主题.
主要成果:
- 这项研究分析了50起多重死亡自杀事件,涉及99名死者,主要是受教育程度有限的非西班牙裔白人男性.
- 出现了四个主要主题:精细的计划,死者之间的相互依赖,无法忍受的健康状况,以及财务压力和人际暴力等社会因素.
- 死者经常表现出诸如慢性疼痛,生活质量差,法律问题和经济困难等特征.
结论:
- 干预措施应侧重于改善获得金融资源和医疗保健的机会,特别是农村地区的老年人患有慢性健康问题.
- 针对人际暴力,慢性疾病预防和管理的公共卫生战略对于预防多人死亡自杀至关重要.
- 建议对自杀念头和有针对性的支持系统进行公开讨论,以减轻这些复杂事件.
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