University of Zagreb. School of Medicine. Chair of Forensic Medicine.
Characteristics of suicides in old age
2017
Do danas su otkriveni mnogi čimbenici rizika za počinjenje samoubojstva, a starija dob se svrstava u najznačajnije među njima. Budući da u Republici Hrvatskoj, ali i u većini razvijenih zemalja u svijetu, već godinama traje proces starenja stanovništva, sve više raste broj i udio osoba starije dobi u populaciji. S obzirom na to da je stopa samoubojstava viša u toj skupini, povećanje broja osoba starije dobi vjerojatno će voditi povećanju ukupnog broja samoubojstava. Cilj ovog rada je istražiti obilježja samoubojstava na području Grada Zagreba i Zagrebačke županije u razdoblju od 1. siječnja 2011. godine do 31. prosinca 2015. godine, s posebnim osvrtom na razlike između mlađe i starije populacije. Iz nalaza obdukcija sa Zavoda za sudsku medicinu i kriminalistiku Medicinskog fakulteta u Zagrebu su prikupljeni demografski podaci o osobama koje su u navedenom petogodišnjem periodu počinile samoubojstvo. U promatranom je uzorku bilo 816 osoba, koje su podijeljene u dvije dobne skupine: osobe mlađe od 65 godina i osobe u dobi od 65 i više godina. Zatim su te dvije skupine uspoređivane po spolu, bračnom stanju, stručnoj spremi, koncentraciji alkohola u krvi u vrijeme smrti i načinu izvršenja samoubojstva. Rezultati su pokazali da je omjer muškaraca i žena koji su počinili samoubojstvo bio jednak u starijoj i mlađoj dobnoj skupini, dok je najveća razlika u stopi samoubojstava između starije i mlađe dobne skupine bila među samcima i osobama s višom stručnom spremom. Osobe starije dobi su također znatno češće koristile vatreno oružje za počinjenje samoubojstva. Ovakvi podaci su neophodni za bolje razumijevanje čimbenika rizika za počinjenje samoubojstva u starijoj dobi, što je preduvjet za mogućnost prevencije daljnjeg porasta broja samoubojstava u toj populaciji.There are many risk factors for committing suicide known today, and old age is considered as one of the most important ones among them. Since the process of population ageing in Republic of Croatia, as well as in most of the developed countries in the world, has been going on for years, the number and percentage of older people in general population has been increasing. Considering that the suicide rate is higher within that group, the increase in the number of people of old age will probably lead to the increase of the number of suicides. The goal of this paper is to research the characteristics of suicides in the City of Zagreb and the Zagreb County area in the time period from January 1st 2011 to December 31st 2015, with special focus on the differences between the younger and older population. Autopsy records of the Department of Forensic Medicine and Criminology, Zagreb University School of Medicine, were used to gather demographic data about the people who committed suicide in the five-year time period. There were 816 people in the studied sample, divided into two groups: persons under the age of 65 and persons 65 years of age and older. The two groups were then compared by gender, marital status, level of education, blood alcohol levels and the method of committing suicide.The results showed that the ratio of men and women who committed suicide is the same in the older and the younger age group, while the biggest differences in suicide rates between those two groups were among singles and people with higher levels of education. People of older age also used firearms as a method of committing suicide more often. This type of data is necessary for better understanding the risk factors for committing suicide in old age, which is needed to prevent the further increase of the number of suicides in that population
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