<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1135-7606</journal-id>
<journal-title><![CDATA[Cuadernos de Medicina Forense]]></journal-title>
<abbrev-journal-title><![CDATA[Cuad. med. forense]]></abbrev-journal-title>
<issn>1135-7606</issn>
<publisher>
<publisher-name><![CDATA[Asociación de Médicos Forenses de Andalucía]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1135-76062016000200003</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Método empleado en las muertes por suicidio en España: envenenamiento y agentes violentos no tóxicos]]></article-title>
<article-title xml:lang="en"><![CDATA[Suicide methods in Spain: poisoning and non-toxic violent agents]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Santurtún]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Santurtún]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Agudo]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Zarrabeitia]]></surname>
<given-names><![CDATA[MT]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Cantabria Departamento de Enfermería ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Spain</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Centro Hospitalario Padre Menni  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad de Cantabria Departamento de Fisiología y Farmacología Unidad de Medicina Legal]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Spain</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Instituto de Medicina Legal de Cantabria Servicio de Laboratorio ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Spain</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Universidad de Cantabria  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Spain</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2016</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2016</year>
</pub-date>
<volume>22</volume>
<numero>3-4</numero>
<fpage>73</fpage>
<lpage>80</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_arttext&amp;pid=S1135-76062016000200003&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_abstract&amp;pid=S1135-76062016000200003&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_pdf&amp;pid=S1135-76062016000200003&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción  El suicidio es en todo el mundo la segunda causa de muerte en adultos jóvenes, y en España es la principal causa de muerte violenta. Los métodos para llevarlo a cabo varían según factores demográficos y geográficos. En el presente estudio se analiza de manera global el método de suicidio empleado en España, y se detalla el análisis en la región de Cantabria.  Material y métodos Estudio retrospectivo en el que se clasifican los suicidios en dos grupos según el método, por envenenamiento y por agentes violentos no tóxicos. Se evaluó la tendencia en los métodos elegidos para provocar la muerte, así como las diferencias según la edad y el sexo.  Resultados El patrón geográfico en los suicidios según el método es heterogéneo. Los suicidios por agentes violentos no tóxicos fueron los más frecuentes, representando el 90,2% del total, si bien cabe destacar que este grupo ha sufrido un descenso en los últimos años (p = 0,002). Los agentes tóxicos estuvieron presentes en el 9,8% de los suicidios, siendo más usados por las mujeres. En Cantabria, el ahorcamiento fue el principal método elegido (50,2% del total).  Conclusiones Los tóxicos son agentes poco presentes en las muertes autoinfligidas, lo que podría atribuirse a su menor letalidad (respecto a otros métodos activos, como la precipitación o el ahorcamiento) y a la efectividad de las medidas sanitarias ante un envenenamiento. El Boletín Estadístico de Defunción Judicial no es del todo fiable como fuente de datos para la realización de estudios epidemiológicos, lo que puede deberse a que es rellenado por personal no sanitario que no tiene acceso a la historia del paciente.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction Suicide is the second leading cause of death in young adults worldwide and the leading cause of violent death in Spain. Methods for committing suicide vary due to demographic and geographic factors. The present study analyzes the methods of suicide used over 13 years throughout Spain, and in particular in the region of Cantabria.  Material and methods A retrospective study was carried out to study the methods of suicide chosen in Spain. Temporal trends were analyzed throughout the period, as well as differences according to age and sex.  Results Toxic agents were present in 9.8% of recorded suicides, being more commonly used by the women. Suicide by non-toxic violent agents have declined in recent years (p = 0.002). The geographical pattern in suicides according to the chosen method is heterogeneous. In Cantabria, suicide by hanging was the most commonly chosen method (50.2% of the total).  Conclusions Toxic agents are relatively infrequent in self-inflicted deaths, which could be attributed to their lower lethality (compared to other active methods such as jumping from height or hanging) and to the effectiveness of medical measures against poisoning. The Boletín Estadístico de Defunción Judicial may not be a completely reliable source for conducting epidemiological studies, due to the cause of death being recorded by non-medical personnel without access to the full medical history of the patients.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Suicidio]]></kwd>
<kwd lng="es"><![CDATA[Envenenamiento]]></kwd>
<kwd lng="es"><![CDATA[Ahorcamiento]]></kwd>
<kwd lng="es"><![CDATA[Precipitación]]></kwd>
<kwd lng="es"><![CDATA[España]]></kwd>
<kwd lng="en"><![CDATA[Suicide]]></kwd>
<kwd lng="en"><![CDATA[Poisoning]]></kwd>
<kwd lng="en"><![CDATA[Hanging]]></kwd>
<kwd lng="en"><![CDATA[Precipitation]]></kwd>
<kwd lng="en"><![CDATA[Spain]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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