本文根据遵义市10万人群监测点1987～1990年所搜集的居民自杀死亡报告卡,采用“国际死亡原因医学证明书”的基本格式,入户调查自杀起因等项目,并进行整理分析,提出有关自杀的几个值得社会关注的问题,望能为社会主义精神文明建设提供一些参考意见。自杀死亡率遵义市城市居民监测点收集的资料表明,非感染死因已取代感染死因,死因的前五位是脑血管病、呼吸系统病、肿瘤病、心脏病和意外死亡。意外、损伤平均死亡率为59.58/10万,其中自杀死亡率为18.42/10万(调整死亡率为16.71/10万)。四年间,死亡率变化无显著差异(P>0.75)。自杀居意外死亡之首位,占意外死亡总数的30.92%,危害和影响之大,超过了交通事故(占意外死亡总数的21.69%)。所以我们 Based on the resident suicide death report cards collected by monitoring population of 100,000 in Zunyi City from 1987 to 1990, this article adopts the basic format of “Medical Certificate of International Death Cause” and conducts surveys on causes of suicide in households and analyzes the causes of suicide. Several issues of suicide worth the attention of the community are expected to provide some reference for the construction of socialist spiritual civilization. Suicide Mortality The data collected at the monitoring points of urban residents in Zunyi City show that the cause of infection was replaced by the non-infected cause of death. The top five causes of death are cerebrovascular diseases, respiratory diseases, oncological diseases, heart diseases and accidental deaths. Accidental, the average injury death rate was 59.58 / 100,000, of which suicide mortality was 18.42 / 100,000 (adjusted mortality rate was 16.71 / 100,000). There was no significant difference in mortality between the four years (P> 0.75). The suicide accidental death ranked first, accounting for 30.92% of the total number of accidental deaths, the harm and impact of large, more than a traffic accident (accounting for 21.69% of the total number of accidental deaths). so we