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| ???org.dspace.app.webui.jsptag.ItemTag.dcfield??? | Value | Language |
|---|---|---|
| dc.contributor.advisor | 鄭泰安 | |
| dc.contributor.author | Po-Ren Teng | en |
| dc.contributor.author | 鄧博仁 | zh_TW |
| dc.date.accessioned | 2021-06-13T08:24:01Z | - |
| dc.date.available | 2005-07-20 | |
| dc.date.copyright | 2005-07-20 | |
| dc.date.issued | 2005 | |
| dc.date.submitted | 2005-07-19 | |
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In: Hawton K, Van Heeringen K, eds. The international handbook of suicide and attempted suicide. Chichester: John Wiley & Sons, 2000:209-221. 43. Nielsen D, Virkkunen M, Lappalainen J, Eggert M, Brown G, Long J, Goldman D, Linnoila M. A tryptophan hydroxylase gene marker for suicidality and alcoholism. Arch Gen Psychiatry 1998;55:593-602. 44. Golomb BA. Cholesterol and violence: is there a connection? Annals of Internal Medicine 1998;128:478-487. 45. Mahapatra MS, Mahata SK, Maiti BR. Effect of ambient temperature on serotonin, norepinephrine, and epinephrine contents in the pineal-paraphyseal complex of the soft-shelled turtle. Gen Comp Endocrinol 1989;74:215-220. 46. Nordin C, Swedin A, Zachau A. CSF 5-HIAA and atmospheric pressure. Biol Psychiatry 1992;31:644-645. 47. Lambert GW, Reid C, Kaye DM, Jennings GL, Esler MD. Effect of sunlight and season on serotonin turnover in the brain. Lancet 2002;360:1840-1842. 48. Whitton JL, Kramer P, Eastwood R. Weather and infradian rhythms in self-reports of health, sleep and mood measures. J Psychosom Res 1982;26:231-235. 49. Howarth E, Hoffman MS. A multidimensional approach to the relationship between mood and weather. Br J Psychol 1984;75:15-23. 50. Albert PS, Rosen LN, Alexander JR Jr, Rosenthal NE. Effect of daily variation in weather and sleep on seasonal affective disorder. Psychiatry Res 1991;36:51-63. 51. Maes M, De Meyer F, Peeters D, Meltzer H, Cosyns P, Schotte C. Seasonal variation and meteotropism in various self-rated psychological and physiological features of a normal couple. Int J Biometeorol 1992;36:195-200. 52. Moreno FA, Gelenberg AJ, Heninger GR et al. Tryptophan depletion and depressive vulnerability. Biol Psychiatry 1999;46:498-505. 53. Durkheim E. Le suicide. 1897. 54. Josepho SA, Plutchik R. Stress, coping, and suicide risk in psychiatric inpatients. Suicide Life Threat Behav 1994;24:48-57. 55. Appleby L, Cooper J, Amos T, Faragher B. Psychological autopsy study of suicides by people aged under 35. Br J Psychiatry 1999;175:168-174. 56. Wiedenmann A, Weyerer S. The impact of availability, attraction and lethality of suicide methods on suicide rates in Germany. Acta Psychiatr Scand 1993;88:364-368. 57. Patz JA, Engelberg D, Last J. The effects of changing weather on public health. Annu Rev Public Health 2000; 21:271-307. 58. Barraclough B, Bunch J, Nelson B, Sainsbury P. A hundred cases of suicide: clinical aspects. Br J Psychiatry 1974;125:355-373. 59. Mann AH, Jenkins R, Cutting JC et al. The development and use of a standardized assessment of abnormal personality. Psychological Medicine 1981;11:839-847. 60. Cheng ATA, Mann AH, Chan A. Personality disorder and suicide: a case-control study. Br J Psychiatry 1998;170:441-446. 61. Tromp S, Bouma J. Study of the possible relationship between atmospheric environment, suicide and suicide attempts in the western part of the Netherlands (1954-1969). Monograph Series No.12.Leiden:Biometeorological Research Centre.(1973) 62. Coccaro EF. Central serotonin and impulsive aggression. Br J Psychiatry 1989; 155(suppl.8):52-62. 63. Schapira K, Linsley KR, Linsley JA, Kelly TP, Kay DWK. Relationship of suicide rates to social factors and availability of lethal methods. Br J Psychiatry 2001;178:458-464. 64. Kendler KS, Karkowski-Shuman L. Stressful life events and genetic liability to major depression: genetic control of exposure to the environment? Psychological Medicine 1997;27:539-547. | |
| dc.identifier.uri | http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/36943 | - |
| dc.description.abstract | 背景：天氣與自殺的關係早已受到關注，以往的研究多採用生態研究方法，雖然考慮到諸多的干擾因素之控制，其結果多不一致，而迄今尚未有相關研究採用個案對照的方法。
目的：以東台灣三個種族的自殺研究樣本與資料為基礎，探討天氣變項與自殺之間的關係。 方法：研究採用生態研究法 (Poisson regression model)與病例對照法 (conditional regression model)，前者探討逐日天氣變項與當日自殺事件之間的關係; 後者探討自殺組與對照組的天氣暴露狀態有無不同。同時也分析暴力型自殺與非暴力型自殺，以及若干不同個體特質族群的自殺是否受天氣影響的程度不同。 結果：生態研究發現溫度的增加僅在女性自殺樣本有意義地提高自殺的危險性 (p=0.049)，病例對照研究發現整體自殺組的平均溼度暴露顯著地高於對照組(風險比1.064，p=0.0012)，此種顯著相關性同時存在於非暴力型自殺、男性、女性、非老年的自殺族群，但不存在於暴力型自殺與老年的自殺族群。天氣與自殺的關係在調整了物質依賴、失落經驗、情緒不穩性人格障礙、自殺行為家族史等個人變項的效應之後仍然存在。 結論：本研究顯示平均溼度的增加提高易感者的自殺風險，非暴力型自殺受天氣因素的影響大於暴力型自殺，天氣對於自殺方法的選擇及其背後的機轉之影響可能不同。 | zh_TW |
| dc.description.abstract | Background: Studies investigating the relationship between weather and suicide were mostly conducted by ecological study design with equivocal results. No study has been conducted with a case-control design.
Aims: To examine the associations between weather and suicide in three ethnic groups in East Taiwan. Method: Poisson regression analysis and conditional logistic regression analysis were conducted separately. The former, based on ecological study design, investigated the association between daily suicide count and daily weather parameters. The latter, based on case-control study design, investigated the difference in weather exposure between suicides and controls. Effects of weather on suicide risk were also investigated against methods of suicide (violent and non-violent) and personal characteristics. Result: In Poisson regression model, elevated high temperature significantly increased suicide risk in female (p=0.049). In conditional logistic regression model, elevated mean humidity significantly increased suicide risk in all suicides (Odds Ratio 1.064, p=0.0012); in non-violent suicides, in both sexes and in non-elderly suicides, but not in violent and elderly suicides. The significant association between weather and suicide has remained after adjusting for the effect of substance dependent, emotionally unstable personality disorder, loss event and family history of suicidal behavior. Conclusions: Elevated humidity significantly increased suicide risk in susceptible individuals. The effect of short-term weather condition on suicide is more significant in non-violent suicides. The influence of weather on suicide and its underlying mechanisms may differ with different methods of suicide. | en |
| dc.description.provenance | Made available in DSpace on 2021-06-13T08:24:01Z (GMT). No. of bitstreams: 1 ntu-94-R91846017-1.pdf: 522377 bytes, checksum: e5a85441cb2b3b75e75922df35624d4d (MD5) Previous issue date: 2005 | en |
| dc.description.tableofcontents | 中文摘要 1
英文摘要 2 內容目錄 3 圖表內容 5 第一章 前言 8 第二章 文獻回顧 第一節 有關於天氣與自殺文獻之方法學綜論 10 第二節 以較長時期天氣資料為暴露因子之研究 15 第三節 以逐日天氣資料為暴露因子之研究 18 第四節 天氣與自殺相關之理論觀點 20 第五節 研究假說與研究目的 23 第三章 材料與方法 第一節 研究對象 25 第二節 氣象資料 27 第三節 統計分析 27 第四章 結果 第一節 描述性特徵 30 第二節 Poisson Regression Model 之結果 31 第三節 Conditional Logistic Regression Model分析之結果 32 第四節 Generalized Linear Mixed Model分析之結果 33 第五章 討論 第一節 本研究主要發現與假說檢驗 34 第二節 天氣變項與自殺的關 35 第三節 天氣變項與不同種族、性別、年齡自殺者間的關係 37 第四節 天氣變項與暴力型與非暴力型自殺的關係 38 第五節 天氣與自殺間關係的機轉探討 .39 第六節 研究優點(strengths)與限制(limitations) 41 第六章 結論與臨床意涵 43 參考文獻 44 | |
| dc.language.iso | zh-TW | |
| dc.subject | 自殺 | zh_TW |
| dc.subject | 天氣 | zh_TW |
| dc.subject | weather | en |
| dc.subject | suicide | en |
| dc.title | 天氣與自殺: 一東台灣病例對照研究 | zh_TW |
| dc.title | Weather and Suicide: A Case-Control Study in East Taiwan | en |
| dc.type | Thesis | |
| dc.date.schoolyear | 93-2 | |
| dc.description.degree | 碩士 | |
| dc.contributor.coadvisor | 陳秀熙 | |
| dc.contributor.oralexamcommittee | 張明永,賴德仁 | |
| dc.subject.keyword | 天氣,自殺, | zh_TW |
| dc.subject.keyword | weather,suicide, | en |
| dc.relation.page | 85 | |
| dc.rights.note | 有償授權 | |
| dc.date.accepted | 2005-07-19 | |
| dc.contributor.author-college | 公共衛生學院 | zh_TW |
| dc.contributor.author-dept | 預防醫學研究所 | zh_TW |
| Appears in Collections: | 流行病學與預防醫學研究所 | |
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