請用此 Handle URI 來引用此文件:
http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/4598
標題: | 2013年度高雄地區自殺案件之分析研究 The Annual Review of Suicide Cases of Kaohsiung City in 2013 |
作者: | Wen-Chi Su 蘇文祺 |
指導教授: | 孫家棟 |
關鍵字: | 高雄,自殺,司法解剖,司法解剖率,遺書, Kaohsiung,Suicide,Forensic autopsy,Forensic autopsy rate,Suicide notes, |
出版年 : | 2015 |
學位: | 碩士 |
摘要: | 依衛生福利部資料,2013年高雄地區自殺粗死亡率為每十萬人口16.2人,高於全國平均值(12.0人),但目前少有文獻探討有關高雄地區自殺之司法相驗案件。為研究此類案件人口學及個案背景特徵,本研究針對高雄地區2013年484件自殺案件,以去聯結方式收集個案下列資訊:性別,年齡,婚姻狀況,居住所,居住狀況,保險狀況,精神病史,物質濫用史,自殺方法,自殺原因,事發地點,死亡時間,有否解剖,有否遺書,和遺書內容。本研究中自殺案件有下列特徵:男性334人,女性150人,男女人數比2.23:1,死亡率以65歲以上(每十萬人口31.2人)及離婚(每十萬人口56.0人)為最高,其中68.8%與家人同住,93.7%居住於中高程度都市化地區,42.6%有商業保險,40.3%有精神病史,12.6%有物質濫用史, 27.5%曾有自殺行為,31.8%上吊自殺,26.2%自殺原因為精神健康問題,和67.5%於自宅自殺。本研究中,自殺案件司法解剖率12.0%,經由司法解剖之自殺案件有下列特徵:在15-24歲(25.0%),獨居(15.9%),未婚(17.0%),有物質濫用史(19.7%),溺水(23.3%)和施用毒藥物(20.0%),事發地點為河海港口(25.0%)有較高之解剖率。本研究中,遺留遺書比例為34.7%,遺留遺書者有下列特徵:在25-44歲(43.2%),燒炭(51.3%),自殺原因為人際情感(48.6%)和工作經濟(41.2%)有較高比例遺留遺書;遺書內容比例較高者有:向親友道別(62.4%),後事處理(41.4%),財務處理(38.2%),撐不下去(30.6%),自責(29.3%),抱怨其他人事物(29.3%)。本研究描繪了自殺案件之輪廓,希望對未來自殺案件司法相驗及自殺防治有所幫助。 From the data published by the Ministry of Health and Welfare of Taiwan, the crude suicide rate of Kaohsiung city in 2013 was 16.2 per 100,000 which was higher than the national average (12.0 per 100,000). Up to now, there is a paucity of study referred to the death investigations of suicide cases in Kaohsiung city.To investigate the characteristics of the demography and the circumstance of these cases, we collected the following information with de-linked for all 484 suicide cases (334 men and 150 women) in 2013 in Kaohsiung city, including gender, age, marital status, residence, residential state, condition of insurance, history of psychiatric disorders, history of substance abuse, previous suicidal behavior, suicide method, reason for suicide, occurrence site, time of death, completing forensic autopsy or not,leaving suicide note or not, and contents of suicide notes. Suicide cases in Kaohsiung city had the following characteristics:the sex ratio of suicide victims was 2.23 (male/female).There were higher proportion in people aged 65 or above (31.2 per 100,000), divorced population (56.0 per 100,000), people living with family (68.8%), the inhabitants of high and medium urbanization area(93.7%), suicide by hanging(31.8%), suicide for reasons of psychiatric illness(26.2%)and suicide at home(67.5%). 42.6% were insured, 40.3% were suffering from psychiatric illness, 12.6% were substance abusers,27.5% had previously attempted suicide.The total forensic autopsy rate was 12.0% in our study. The suicide cases arranged for forensic autopsy had the following characteristics: higher autopsy rate in the age group 15-24y/o(25.0%), living alone(15.9%), single(17.0%), substance abuser(19.7%), suicide by drowning(23.3%) and poisoning(20.0%) and suicide in water area(25.0%).The incidence of suicide note-leaving was 34.7% in our study. Suicide note writers in our study had the following characteristics: higher proportion in the age group 25-44 y/o (43.2%), suicide by charcoal-burning(51.3%), suicide for reasons of problem in interpersonal relationship(48.6%) and socioeconomic problem(41.2%). The contents of suicide notes included farewell to relatives and friends(62.4%), funeral arrangement(41.4%), financial arrangement(38.2%), tiredness(30.6%), self-blame(29.3%) and blame others for suicide(29.3%).From this study, we drawn the profiles of the suicide cases. We hope these results will give some help in death investigations of suicide cases and prevention of suicide in the future. |
URI: | http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/4598 |
全文授權: | 同意授權(全球公開) |
顯示於系所單位: | 法醫學科所 |
文件中的檔案:
檔案 | 大小 | 格式 | |
---|---|---|---|
ntu-104-1.pdf | 5.45 MB | Adobe PDF | 檢視/開啟 |
系統中的文件,除了特別指名其著作權條款之外,均受到著作權保護,並且保留所有的權利。