论文部分内容阅读
Background: Suicide rate is a macro indicator of the populations psychosocial wellbeing and an evaluation criterion of the effectiveness of suicide prevention strategies.High level of injury deaths of undetermined intent (UD) is usually discussed in connection with reliability of suicide statistics.An effort is made to develop a criterion to characterise the quality of suicide statistics.Methods: SDR for suicides (X60-X84) and UD (Y10-Y34) by ICD-10 as an average for the last 5 available years were taken from the WHO European Mortality Database.Rate ratios were computed by dividing rates of UD by suicide rates.Results: There is considerable inequality in suicide and UD rates among countries.The highest overall rates of UD were registered in Russia, Ukraine and Belarus, and the lowest in Greece, Spain and Italy.The EU-15 average UD rate and the rate ratio of UD to suicides were combined into a 2-20 benchmark, where the primary indicator is 2.0 UD cases per 100000 and the secondary indicator is the proportion of UD to suicides 0.20 (20%), which enables to cluster countries according to the quality of suicide statistics.The following countries satisfied the benchmark: Greece, Norway, Spain, Netherlands, Luxembourg, France, Austria, Italy, Romania, Hungary, Ireland, and Finland.Conclusion: It is recommended to use in Europe the developed 2-20 benchmark to estimate suicide registration quality in a particular country, to compare the relative position of countries, and to set a target for those European countries that have not yet achieved the benchmark.