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目的 :探讨农村自杀综合干预的效果。方法 :实施综合性农村自杀干预措施 ,使用相同的调查工具和调查流程 ,对 1989年与 1999年同一样本人群自杀率及其相关因素进行比较及评估。结果 :1989年与 1999年滕州市某镇自杀率分别为 48 5 6/ 10万和 5 98/ 10万。自杀未遂分别为 10 4 0 6/ 10万和 46 67/ 10万 ,差异显著 (χ2 =40 70及 χ2 =15 4 0 8,P均 <0 0 0 1)。综合干预后家庭矛盾导致的自杀显著下降 ,相对精神病性的自杀率明显上升。结论 :农村自杀综合干预措施效果明显 ,自杀重点人群得到有效的保护
Objective: To explore the effect of rural suicide comprehensive intervention. Methods: Comprehensive rural suicide interventions were implemented and the same survey tools and investigation procedures were used to compare and assess suicide rates and their associated factors in the same sample population between 1989 and 1999. Results: The suicide rates in a town in Tengzhou in 1989 and 1999 were 48 5 6/10 million and 5 98/10 million respectively. Attempts to commit suicide were 10 4 million and 46 67 per 100 000, respectively, with significant differences (χ 2 = 40 70 and χ 2 = 15 40 0, P <0 0 01). Suicide caused by family conflicts after the comprehensive intervention decreased significantly, and the relative psychotic suicide rate increased significantly. Conclusion: The comprehensive suicide intervention in rural areas is effective and the key suicide population is effectively protected