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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 | Tsao-Sheng Huang | en |
dc.contributor.author | 黃灶生 | zh_TW |
dc.date.accessioned | 2021-06-08T01:59:40Z | - |
dc.date.copyright | 2016-08-26 | |
dc.date.issued | 2016 | |
dc.date.submitted | 2016-06-22 | |
dc.identifier.citation | 1. 歷年全國自殺死亡資料統計暨自殺通報統計(更新至103年)http://www.mohw.gov.tw/CHT/DOMHAOH/DM1_P.aspx?f_list_no=179&fod_list_no=5269&doc_no=47545
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Differences in characteristics between suicide victims who left notes or not . Journal of Affective Disorders. 2006;94:145-149 28. Bastia BK, Kar N. A Psychological Autopsy Study of Suicidal Hanging from Cuttack, India: Focus on Stressful Life Situations. Archives of Suicide Research. 2009;13(1):100-104. 29. Bhoi SB, Tumram NK, Shinde DK, Chandekar KS. Delayed Death after Attempted suicide by hanging. Journal of Punjab Academy of Forensic Medicine & Toxicology. 2013;13(2):86-87. 30. Wahlen BM , Thierbach AR.Near hanging. Eur J Emerg Med.2002;9(4): 348-50. 31. Aggarwal NK, Kishore U, Agarwal BB. Hanging delayed death ( a rare phenomenon). Med Sci Law 2000;40:270-2. 32. Karak FK, Balaraman R. Delayed death in hanging. J Indian Acad Forensic Med. 2008;30(3)149-150 33. Vaghela DR, Patel PR. Late death in a case of hanging – A Case Report. Anil Aggrawal's Internet Journal of Forensic Medicine and Toxicology. 2009;10(1):p9-9 34. Verma SK, Agarwal BB. Accidental hanging with delayed death in a lift. Med Sci Law. 1999;39:342-4. 35. Taff ML, Boglioli LR, Danto BL. Planned complex suicide. Am J Forensic Med Pathol. 1998;19:194. 36. Demirci S, Dogan KH, Erkol Z, Deniz I. A Series of Complex Suicide. Am J Forensic Med Pathol. 2009; 30(2):152-154. 37. Godin A, Kremer C, Sauvageau A. Fracture of the Cricoid as a Potential Point to Homicide: A 6-Year Retrospective Study of Neck Stuctures Fractures in Hanging Victims. Am J Forensic Med Pathol. 2012;33(1):4-7. 38. Leth P, Vesterby A. Homicidal hanging masquerading as suicide. Forensic Science Internation. 1997;85:65-71 | |
dc.identifier.uri | http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/19451 | - |
dc.description.abstract | 在臺灣上吊是一種常見且高致死率的自殺方式.本研究分析臺北地檢署轄區2010至2014年314件上吊自殺案件,以便了解此類案件的基本型態。評估變項包含了性別、年齡、婚姻狀況、教育程度、精神健康狀況、上吊地點、上吊使用材料、屍體姿勢型態、留有遺書與否、自殺過往史、自殺原因、屍體相驗外觀。結果呈現:男女上吊比例為1.6:1;在45-64歲年齡層,女性上吊比例(43.9%)高於男性(31.9%),在25-44歲年齡層,男性上吊比例(28.8%)反高於女性(21.1%);女性有輕生念頭比例(69.9%)高於男性(56.5%);女性有自殺過往史比例(37.4%)高於男性(22.5%);上吊姿勢分為懸空82件(26.1%),非懸空173件(55.1%),不詳59件(18.8%) ;懸空與非懸空上吊姿勢比例為1:2.1;男性選擇戶外上吊比例(22.5%)遠高於女性(1.6%);男性於浴室內自殺比例(3.7%)遠低於女性(17.9%);女性使用絲巾、絲襪、布條或布繩比例明顯高於男性,而使用童軍繩或電線比例卻明顯低於男性;男女皆以繩結位於後枕部上方為最多;頸前水平沿耳後向上延伸呈現U型217件(69.1%),頸前倒U3件(1%);索溝位置在甲狀軟骨上方有267件(85%);本研究遺留遺書比例為36%;精神疾病比例為46.2%;其中上吊司法解剖率為1.3%;毒物分析比例1.9%。至於上吊自殺原因以精神疾病/物質濫用所占比例最高(44.3%),其次為生理疾病(20.4%)。最後,建議提高司法解剖率及毒物分析比例,並配合現場調查來決定死因及死亡方式。 | zh_TW |
dc.description.abstract | Hanging is a common and highly lethal suicidal method in Taiwan. This study analyzed 314 suicides by hanging between 2010 and 2014 from the Jurisdiction of Taipei District Prosecutors Office, in order to understand the basic patterns for such cases. Assessment variables included gender, age, marital status, education, mental health, hanging place, use of tools, body posture patterns, leaving a suicide note or not, the past history of suicide, suicide reason, external appearance of inspected corpse. The results are as follows: Male to female ratio was 1.6:1. In the 45-64 age group, the proportion of hanging in female (43.9%) was higher than that in men (31.9%) , but in the 25-44 age group, the proportion of hanging in male (28.8%) was higher than that in female (21.1%). The proportion with presence of suicidal thoughts in female (69.9%) was higher than that in men (56.5%). Female has a higher proportion of suicide past history (37.4%) than male (22.5%). Commit suicide by hanging posture is divided into complete suspension 82 (26.1%), the incomplete suspension 173 (55.1%), and unknown posture 59 (18.8%). The hanging position ratio was 1:2.1. Male selection hanging outside ratio (22.5 %) was significantly higher than that of female (1.6 %). Male in bathroom suicide ratio (3.7%) was far below that of female (17.9 %). Female used scarves, stockings, or cloth roping ratio significantly higher than male, however the use of wire and Scout rope ratio was significantly lower than men. Both male and female with knots located above the occipital for most. The ligature runs from the midline above the thyroid cartilage symmetrically encircling the neck on both sides to the occipital region
217(69.9%).Hanging with point of suspension on front of neck has 3(1%). Ligature mark above the thyroid cartilage 267(85%).In this study revealed the proportion of leaving a suicide note , mental illness, forensic autopsy rate and toxic analysis would be 36%, 46.2%, 1.3% and 1.9%, represently. The cause of hanging related to mental illness / substance abuse occupied the highest proportion (44.3%), followed by physical illness (20.4%). Finally, we suggest that we have to promote the frequency of forensic autopsy and toxicological analysis , which are associated with the scene investigation to determine the cause and manner of death. | en |
dc.description.provenance | Made available in DSpace on 2021-06-08T01:59:40Z (GMT). No. of bitstreams: 1 ntu-105-R97452007-1.pdf: 1787728 bytes, checksum: b7cf540aa876c8bbf2800d2e29ecbb7a (MD5) Previous issue date: 2016 | en |
dc.description.tableofcontents | 誌謝 I
中文摘要 II ABSTRACT III 圖目錄 VII 表目錄 VIII 第一章 緒論 1 1.1 研究背景 1 1.2 研究動機 2 1.3 研究目的 2 第二章 文獻縱覽 4 2.1 絞殺(STRANGULATION)種類 4 2.2 絞殺機轉 5 2.3 上吊之流行病學研究 5 第三章 研究方法與步驟 9 3.1 研究方法 9 3.2 研究對象 9 3.3 研究對象所屬轄區範圍 9 3.4 分析項目定義 10 3.5 資料統計及分析 12 3.6 研究限制 12 第四章 結果 13 4.1 臺北地檢署轄區2010 至2014 年自殺案件統計 13 4.2 人口學特徵之統 13 4.3 上吊自殺案件特徵分析 15 4.4 年齡分層與不同類別變項間分析比較 19 4.5 自殺過往史與輕生念頭分析比較 20 4.6 都市化程度與各類別變項分析比較 20 4.7 精神狀況與各類別變項分析比較 21 4.8 遺書與人口學變項分析比較 22 4.9 合併其他方法上吊自殺分析 23 4.10 上吊案件解剖率、解剖結果及毒藥物分析比例 23 第五章 討論 24 5.1 臺北地檢署轄區2010 至2014 年自殺案例統計分析比較 24 5.2 死亡地點、上吊使用材料、屍體姿勢型態、婚姻、季節比較 25 5.3 上吊姿勢與身體外觀特徵分析比 26 5.4 留有遺書與否分析比較 27 5.5 自殺原因 27 5.6 送醫後延遲死亡 28 5.7 合併其他方法自殺 29 5.8 頸部骨折 30 5.9 相驗時應注意細節 30 第六章 結論 32 參考文獻 34 圖目錄 38 圖 1 臺灣臺北地方法院檢察署轄區分布圖 38 圖 2 2010 至2014 年臺北地檢署轄區自殺方式分布圖 39 圖3 2010 至2014 年臺北地檢署轄區自殺方式趨勢圖 40 圖4 三地區自殺方式比較 41 圖5 上吊發現地點 42 圖6 上吊發現地點所屬行政區 43 圖7 上吊工具 44 圖8 上吊使用工具_性別分布 45 表目錄 46 表1 2010 至2014 年臺北地檢轄區自殺方式統計表 46 表2 性別與年齡分布 47 表3 性別與婚姻分布 48 表4 性別與職業分布 49 表5 性別與教育程度分布 50 表6 性別與輕生念頭分布 51 表7 性別與自殺過往史分布 52 表8 性別與財務狀況分布 53 表9 上吊自殺季節分布 54 表10 性別與發現地點分布 55 表11 性別與工具分布 56 表12 性別與繩結位置分布 57 表13 性別與索溝走向分布 58 表14 性別與索溝數目分布 59 表15 性別與索溝位置分布 60 表16 性別與結膜出血 61 表17 性別與臉部鬱血分布 62 表18 性別與皮膚點狀出血分布 63 表19 性別與舌尖外露齒列間分布 64 表20 性別與口鼻分泌物分布 65 表21 性別與耳道/肛門出血分布 66 表22 性別與脫糞分布 67 表23 性別與遺精分布 68 表24 性別與遺尿分布 69 表25 性別與送醫分布 70 表26 性別與遺書有無分布 71 表27 性別與自殺原因分布 72 表28 上吊姿勢與身體外觀特徵分析 73 表29 年齡層與不同變項比較分析 75 表30 自殺過往史與輕生念頭(言語) 比較分析 77 表31 都市化程度與人口學變項比較分析 78 表32 都市化程度與不同變項比較分析 80 表33 精神狀況與各類別變項比較分析 82 表34 遺書與人口學變項比較分析 85 表35 遺書有無與教育程度、性別比較分析 86 表36 性別與合併其他方法比較分析 87 表37 頸部軟骨及骨骼傷害分佈 88 表38 送醫後延遲死亡時間 89 | |
dc.language.iso | zh-TW | |
dc.title | 臺北地方法院檢察署轄區2010至2014年上吊自殺案例分析 | zh_TW |
dc.title | The Analysis of Suicide by Hanging in The Jurisdiction of Taipei District Prosecutors Office, 2010-2014 | en |
dc.type | Thesis | |
dc.date.schoolyear | 104-2 | |
dc.description.degree | 碩士 | |
dc.contributor.oralexamcommittee | 方中民,許敏能 | |
dc.subject.keyword | 臺北地檢署轄區,上吊,司法解剖率,遺書,複合性自殺, | zh_TW |
dc.subject.keyword | Jurisdiction of Taipei District Prosecutors Office,Hanging,Forensic autopsy rate,Suicide notes,Complex suicide, | en |
dc.relation.page | 89 | |
dc.identifier.doi | 10.6342/NTU201600389 | |
dc.rights.note | 未授權 | |
dc.date.accepted | 2016-06-22 | |
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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