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完整後設資料紀錄
DC 欄位 | 值 | 語言 |
---|---|---|
dc.contributor.advisor | 孫家棟 | |
dc.contributor.author | Hsiao-Hsien Sun | en |
dc.contributor.author | 孫孝賢 | zh_TW |
dc.date.accessioned | 2021-06-07T18:11:50Z | - |
dc.date.copyright | 2012-09-18 | |
dc.date.issued | 2012 | |
dc.date.submitted | 2012-06-29 | |
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Factors affecting the choice of suicide method in Okayama: a data-base analysis from a forensic perspective. Acta Med Okayama 2009;63(4):177–186 29.Huh GY, Jo GR, Kim KH, Ahn YW, Lee SY. Imitative suicide by burning charcoal in the southeastern region of Korea: the influence of mass media reporting. Leg Med (Tokyo) 2009;11:S563–S564. 30.Patel F. Carbon copy deaths: Carbon monoxide gas chamber. Journal of Forensic and Legal Medicine 2008 ;15 (6) :398–401 31.Laberke PJ, Bock H, Dittmann, Hausmann R. Forensic and psychiatric aspects of joint suicide with carbon monoxide. Forensic Sci Med Pathol 2011;7:341–343 32.Law CK, Yip PSF, Caine ED. The contribution of charcoal burning to the rise and decline of suicides in Hong Kong from 1997–2007. Soc Psychiatry Psychiatr Epidemiol 2011;46:797–803 33.Schmitt MW, Williams TL, Woodard KR, Harruff RC. Trends in Suicide by carbon monoxide inhalation in in King County, Washington:1996–2009.J Forensic Sci 2011;56(3):652-655 34.Przepyszny LM, Jenkins AJ. The Prevalence of Drugs in Carbon Monoxide-Related Deaths: A Retrospective Study, 2000–2003.Am J Forensic Med Pathol. 2007 Sep; 28(3):242-248 35.World Health Organization (2008) Preventing suicide: a Resource for media professionals. http://www.who.int/mental_health/prevention/suicide/ resource_media.pdf. 36.Wong PWC, Yeung AWM, Chan WSC. Suicide Notes in Hong Kong in 2000. Death Studies 2009;33: 372–381 | |
dc.identifier.uri | http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/16371 | - |
dc.description.abstract | 臺灣近十年來自殺率居高不下,一氧化碳自殺案件屢見於司法相驗中,甚至成為自殺方式的第二位,故有必要對一氧化碳中毒自殺死亡案件(包括燒炭及引汽車所排廢氣入車內)進行各項導因之分析,以做為自殺防治之參考。本研究利用2001-2011年臺灣桃園地區一氧化碳自殺死亡案件,經司法相驗後之調查資料,進行包括人口學、一氧化碳來源、燒炭地點、現場跡證及部分案件之血液毒物學檢驗之研究分析,結果發現11年來共有1183例一氧化碳自殺之死亡案例。一氧化碳自殺已成為桃園地區自殺方式之首選,占所有自殺死亡案件的29.3%,主要以男性(占72%)及25-44歲壯年族群(占65%)為主,與上吊之年齡層偏向45歲以上相較,顯現兩者有社會文化接受性之差異;至於一氧化碳之來源,選擇燒炭者占95.01%,燒炭地點以臥室或浴室為多數合併有81.3%,顯示燒炭者仍以便利為考量;另有26.9%燒炭者會以膠帶或衣物密封門窗,留遺書者有22.3%,兩者對死亡方式之研判極為重要;而經解剖或抽血以檢驗血液藥毒物反應者共有82例,結果一氧化碳血紅素平均濃度為65.3%,已達到教科書上一氧化碳血紅素50%之致死濃度,至少合併一種以上藥物使用者有75.6%,其中以含有酒精最多達50%,服用鎮靜安眠藥者有25.6%,顯示一氧化碳自殺者有相當之比例會服用酒精或鎮靜安眠藥以加速死亡或減輕中毒過程中之不適。由於解剖及抽血案例仍不多,希望能提高解剖及抽血比例,以進一步分析一氧化碳血紅素濃度及其他藥物分佈之情形。希望藉由本篇之研究可以提供檢警有關一氧化碳中毒死亡案件偵查上之相關經驗,並期盼相關之研究因子能提供給有關宣導單位參考,對自殺防治之推行上能有所助益。 | zh_TW |
dc.description.abstract | The kept rising suicide rate has been continued over the past decade in Taiwan. Among suicide manners, the intentional carbon monoxide (CO) poisoning cases are frequently encountered on judicial postmortem examination, even becoming the second suicide manner of death in Taiwan. It is necessary to analyze the risk factors of the intentional carbon monoxide poisoning cases (including charcoal burning and motor vehicle exhaust gas suicide) to provide the implications for suicide preventions strategies. We analyzed the intentional carbon monoxide suicide cases from 2001 to 2011 in Taoyuan County based on the record of judicial investigation, including demographic characteristics, source of carbon monoxide, scene evidences of death and the toxicological studies. The results showed that intentional carbon monoxide poisoning has become the leading suicide manner of death in Taoyuan County and accounted for 29.3% of all suicide cases. 72% of these cases were male and 65% of these deaths occurred among those 25-44 years of age, relative to the hanging cases frequently in 45 or above in age. It reflected the changes in socio-cultural acceptability in favor of the use of carbon monoxide poisoning as a method for suicide in younger age groups. As to the source of carbon monoxide, charcoal burning accounted for 95.01% of intentional carbon monoxide poisoning. Most of charcoal burning deaths (81.3%) chose restroom or bathroom for suicide place that showed the convenient concerned of the deaths. 26.9% of charcoal burning deaths sealed their restroom or bathroom interior with duct tape or clothes and 22.3% of the deaths left suicide notes. Duct tape and suicide notes are the very important scene evidences for the verdict of manner of death. 30 autopsy cases and 52 drew blood cases were studied for toxicology and the mean concentration of COHb was 65.3% that had reached the lethal level 50% indicated by the text book. In those cases (N=82), more than one kind of associated drugs were detected in 75.6% among them, ethanol were detected in 50% of deaths and sedative drugs were detected in 25.6% of deaths. It is well known that individuals who commit suicide may ingest large quantities of drugs and subsequently expose themselves to CO to increase the speed of death or to reduce the uncomfortableness during CO intoxication. Because of the small number of such cases, the conclusion was not so convincing and we hope more carbon monoxide intoxicated cases should do autopsy or drawing blood. This study may give some help in death investigations or judicial decisions to determine the facts of carbon monoxide suicide deaths, and reduction or even prevention of carbon monoxide suicide deaths. | en |
dc.description.provenance | Made available in DSpace on 2021-06-07T18:11:50Z (GMT). No. of bitstreams: 1 ntu-101-R95452013-1.pdf: 532468 bytes, checksum: 12208c0904edcbc8310f7df0a5e8a2b2 (MD5) Previous issue date: 2012 | en |
dc.description.tableofcontents | 口試委員會審定書………………………………………………………………….................. I
誌謝………………………………………………………………………………….....................II 中文摘要………………………………………………………………………….....................III 英文摘要…………………………………………………………………………......................IV 第一章 緒論……………..………………………………………………………..................1 第一節 研究背景與動機…..……………………………………………………..............1 1.1 研究背景…………...…………………..………………………………….................1 1.2 研究動機…………...…………………..………………………………….................2 第二節 研究問題…………...…….…………..………………………………….............3 第三節 研究目的….…………………………………………………………….................3 第二章 文獻探討…………………………………………………………………...................4 第一節 一氧化碳中毒自殺其氣體來源演進趨勢之探討……………………........4 1.1 家用煤氣自殺(domestic coal gas poisoning)………………………....4 1.2 機動車廢氣自殺(motor vehicles exhaust gas suicide)..……4 1.3 燒炭自殺(barbecue charcoal gas suicide)………………………….....5 第二節 燒炭自殺之人口學特徵………………………………………………...............6 2.1 香港燒炭自殺之人口學特徵之探討……………………………………...............6 2.2 臺灣燒炭自殺之人口學特徵之探討……………………………………...............6 2.3 其他國家之燒炭趨勢 …………………………………………………….................7 第三節 一氧化碳中毒自殺死亡者之屍體檢驗…………………………………...........8 第四節 一氧化碳血紅素濃度與合併藥毒物之情形……………………………..........8 第五節 現場跡證………………………….……………………………………….................9 第三章 研究方法…………………………………………………………………..................10 第四章 資料分析與研究結果……………………………………………………...............11 第一節 2001至2011年桃園地區司法相驗案件之統計…………………….......11 第二節 2001至2011年桃園地區司法相驗案件中自殺方式之分析………....11 第三節 一氧化碳中毒自殺死亡案件之分析……………………………............11 3.1 發生率及趨勢…………………………………………………………................11 3.2 人口學之統計…………………………………………………………................11 3.2.1 性別之分佈………………………………………………………..............11 3.2.2 年齡層之分佈……………………………………………………..............12 3.2.3 婚姻狀況…………………………………………………………...............12 3.3 一氧化碳中毒自殺死亡者氣體來源之狀況..………………………….......12 3.4 2007至2011年燒炭自殺死亡者空間選擇之狀況……………………......12 3.5 2007至2011年一氧化碳中毒自殺死亡者現場跡證及個人相關精神疾 病分佈情形……………………………………………………………….................12 第四節 一氧化碳中毒自殺死亡者死亡原因之研判…………………………........13 4.1 僅相驗無解剖抽血案例之研判..……………………………………… ........13 4.2 2007至2011年30例解剖及52例抽血案例之分析…………………......13 4.2.1 30例解剖案例一氧化碳血紅素濃度及其他藥毒物之情形…….13 4.2.2 52例抽血案例一氧化碳血紅素濃度及其他藥毒物之情形….…13 第五節 一氧化碳中毒自殺死亡者死亡方式之研判…………………………........14 第五章 討論………………………………………………………………………...................15 第一節 相驗案件之統計分析…………………………………………………..............15 第二節 一氧化碳中毒自殺死亡案件之分析…………………………………..........15 2.1 一氧化碳中毒自殺死亡歷年趨勢之分析.……………………………........15 2.2 一氧化碳中毒自殺死亡者性別之分析.……………………………….........16 2.3 一氧化碳中毒自殺死亡者年齡層之分析...……………………………......16 2.4 一氧化碳中毒自殺死亡者婚姻別之分析.……………..………………......17 2.5 一氧化碳中毒自殺死亡者氣體來源之分析………….………………........17 2.6 燒炭自殺死亡者地點之選擇及現場跡證……………………………..........18 2.7 燒炭自殺死亡者一氧化碳血紅素濃度及其他藥毒物之分析….……....19 第六章 結論…..……………………………………………………………….…..................20 參考文獻………………………………………………………………………….......................22 附錄………………………………………………………………………………........................25 圖目錄 圖1:臺灣桃園地區2001至2011年一氧化碳中毒自殺死亡人數趨勢圖………………..26 圖2:臺灣桃園地區2001至2011年各種自殺死亡人數趨勢圖…………………………....27 圖3:臺灣桃園地區2001至2011年一氧化碳中毒自殺死亡者性別趨勢圖…………….28 圖4:臺灣桃園地區2001至2011年男性自殺方式分佈圖………………………………......29 圖5:臺灣桃園地區2001至2011年女性自殺方式分佈圖………………………………......30 圖6:臺灣桃園地區2001至2011年一氧化碳中毒自殺死亡者年齡層分佈圖………….31 圖7:臺灣桃園地區2001至2011年一氧化碳中毒自殺死亡者婚姻別分佈圖………….32 表目錄 表1:臺灣桃園地區2001至2011年司法相驗歷年件數及自殺件數統計表…………….33 表2:臺灣桃園地區2001至2011年司法相驗各種自殺方式歷年件數統計表…...34 表3:臺灣桃園地區2001至2011年一氧化碳中毒自殺死亡者年齡層統計表…………35 表4:臺灣桃園地區2001至2011年一氧化碳中毒自殺死亡者婚姻別統計表…………36 表5:臺灣桃園地區2001至2011年一氧化碳中毒自殺死亡者一氧化碳來源統計表37 表6:臺灣桃園地區2007至2011年一氧化碳中毒自殺死亡者解剖及抽取血液或體液 案件之藥毒物分析表.............……………………………………………………………………38 表7:臺灣桃園地區2001至2011年上吊自殺死亡者年齡層統計表…………………...…39 表8:臺灣桃園地區2001至2011年上吊自殺死亡者婚姻別統計表………...……………40 | |
dc.language.iso | zh-TW | |
dc.title | 臺灣桃園地區2001年至2011年一氧化碳中毒自殺死亡案件之分析 | zh_TW |
dc.title | Intentional Carbon Monoxide Poisoning in Taoyuan County, Taiwan, 2001–2011 | en |
dc.type | Thesis | |
dc.date.schoolyear | 100-2 | |
dc.description.degree | 碩士 | |
dc.contributor.oralexamcommittee | 方中民,蕭開平 | |
dc.subject.keyword | 臺灣,自殺,一氧化碳中毒,燒炭, | zh_TW |
dc.subject.keyword | Taiwan,suicide,carbon monoxide poisoning,charcoal burning, | en |
dc.relation.page | 40 | |
dc.rights.note | 未授權 | |
dc.date.accepted | 2012-06-29 | |
dc.contributor.author-college | 醫學院 | zh_TW |
dc.contributor.author-dept | 法醫學研究所 | zh_TW |
顯示於系所單位: | 法醫學科所 |
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