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首页> 外文期刊>Journal of the Canadian Academy of Child and Adolescent Psychiatry >Regional Variations in Suicide and Undetermined Death Rates among Adolescents across Canada
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Regional Variations in Suicide and Undetermined Death Rates among Adolescents across Canada

机译：全加拿大青少年自杀和未定死亡率的区域差异

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Objective Trends in rates of adolescent suicide and undetermined deaths in Canada from 1981 to 2012 were examined, focusing specifically on variations between Canadian regions. Exploratory hypotheses were formulated for regional variability in adolescent suicide rates over time in Canada. Methods A descriptive time trend analysis using public domain vital statistics data was performed. All deaths from 1981 to 2012 among 15 to 19 year olds coded as suicides or undetermined intent according to the International Classification of Diseases, 9th and 10th Revisions were included. Results While there was an overall stability in adolescent suicide and undetermined death rates across Canada, regional analyses showed that Quebec experienced a 7.6% annual reduction between 2001 and 2012 while the Prairies and Atlantic provinces experienced significant annual increases since 2001. Ontario and British Columbia have had non-significant fluctuations since 2001. The trends remained similar overall when excluding undetermined deaths from the analyses. Conclusions Variations in adolescent suicide trends across provinces were found. Factors such as provincial suicide action and prevention legislation contributing to these variations remain to be studied, but these regional differences point towards the need for better consistency of suicide prevention strategies across the country.
机译：目的研究1981年至2012年加拿大青少年自杀率和未定死亡率的趋势，重点关注加拿大地区之间的差异。在加拿大，针对青少年自杀率随时间变化的区域性变化制定了探索性假设。方法使用公共领域生命统计数据进行描述性时间趋势分析。根据《国际疾病分类》（第9 和第10 修订），将1981年至2012年之间15至19岁的所有自杀死亡或意图不明的死亡都包括在内。结果虽然整个加拿大的青少年自杀总体稳定，死亡率未定，但区域分析显示，魁北克在2001年至2012年期间年均下降7.6％，而大草原和大西洋省份自2001年以来每年均显着增长。安大略省和不列颠哥伦比亚省自2001年以来波动不大。从分析中排除不确定的死亡人数后，总体趋势仍相似。结论发现各省青少年自杀趋势存在差异。造成这些变化的因素包括省级自杀行动和预防立法等，还有待研究，但这些地区差异表明需要在全国范围内更好地保持自杀预防策略的一致性。

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