日本城市地区的自杀和不确定/不确定的死亡:国家数据库研究,2008-2022年
Takashi Yamauchi1, Takashi Shimazaki1, Tadashi Takeshima2
1Department of Public Health and Environmental Medicine, The Jikei University School of Medicine, 3-25-8 Nishi-shimbashi, Minato-ku, Tokyo, 105-8461, Japan.
Social science & medicine (1982)
|May 6, 2025
概括
在日本城市,因不明原因的死亡人数急剧增加,在老年人中几乎增加了三倍,而自杀率则下降. 在这些死亡原因中,在15年内观察到有显著的城市变化.
科学领域:
- 公共卫生 公共卫生
- 死亡率统计 死亡率统计
- 老年学是一门学科.
背景情况:
- 自杀死亡被归类为故意自伤 (疾病与相关健康问题的国际统计分类第10版).
- 由于不明原因,意外或不确定的意图而导致的死亡可能代表隐藏的自杀.
- 了解这些死亡类别对于准确的公共卫生监测至关重要.
研究的目的:
- 为了比较15年来日本城市地区的自杀和不确定/不明原因死亡的趋势.
- 在指定城市中分析这些死亡率的地理变化.
- 评估COVID-19大流行对死亡率模式的潜在影响.
主要方法:
- 对2008年至2022年10岁及以上的日本公民的重要统计数据的分析.
- 在政府条例指定城市中,包括被归类为自杀和不明确/不明原因的死亡.
- 在城市和研究期间计算和比较标准化死亡率 (SMRs).
主要成果:
- 在65岁及以上的个人中,故意自伤的死亡率下降.
- 在65岁及以上的人群中,因不明原因的死亡率急剧增加,几乎翻了三倍.
- 在指定城市中发现了不确定的/未知原因的SMR显著变化,但没有观察到与大流行有关的显著变化.
结论:
- 在日本指定城市中,因不明原因导致的死亡存在显著差异.
- 监测不确定/不明原因死亡率的变化与追踪自杀死亡一样重要.
- 对推动这些城市变化和死亡率趋势的因素进行进一步调查是有必要的.
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