Veisani Yousef, Delpisheh Ali, Sayehmiri Kourosh, Moradi Ghobad, Hassanzadeh Jafar
Psychosocial Injuries Research Center, Ilam University of Medical Sciences, Ilam, Iran.
Department of Clinical Epidemiology, Ilam University of Medical Sciences, Ilam-Iran.
J Res Health Sci. 2016 Spring;16(2):64-7.
Suicide has become an increasingly widespread form of morbidity in the developing countries. There has been an increasing trend in morbidity and mortality due to suicide in Iran over the past few decades. This study surveyed attempts and completed suicide over a 5-year period.
Through a cross-sectional study, overall identified suicides by systematic registration suicide data (SRSD) in Ilam Province, western Iran from 21 March 2010 to 11 December 2014 were enrolled. Multiple logistic regression analysis was used for measuring the association between the risk factors of interest and suicide. The statistical software package was Stata 11.2.
A Suicide attempts have slightly increased in Ilam during 2010-2014, during which, 6,818 attempted suicides occurred of which 546 were completed. The odds of completed suicide was higher among older age groups than younger ones so that the crude OR estimates of completed suicide among people aged 50 to 59 yr against people aged <20 yr was (OR=6.99; 95% CI: 3.02, 11.07). The crude and adjusted odds ratio (OR) estimates of completed suicide in males against females were (OR=3.22; 95% CI: 2.58, 3.93) and (OR=3.66; 95% CI: 3.03, 4.11), respectively. Significant excess risk also appeared with academic against illiterate attempters (OR=2.31; 95% CI: 1.35, 3.95). Results showed no increasing trend in the suicide method. Some methods such as self-immolation had decreasing trend over time, although it was not statistically significant (P=0.089).
We observed the variety of suicide risk factors that calls for more diversity in preventative programs. Distribution of suicide methods is diverse across the period of the study.
自杀已成为发展中国家日益普遍的一种发病形式。在过去几十年里，伊朗因自杀导致的发病率和死亡率呈上升趋势。本研究调查了5年期间的自杀未遂和自杀死亡情况。
通过一项横断面研究，纳入了2010年3月21日至2014年12月11日期间伊朗西部伊拉姆省通过系统登记自杀数据（SRSD）确定的所有自杀案例。采用多因素logistic回归分析来衡量感兴趣的危险因素与自杀之间的关联。统计软件包为Stata 11.2。
2010 - 2014年期间，伊拉姆的自杀未遂情况略有增加，在此期间，共发生6818起自杀未遂事件，其中546起自杀死亡。老年组自杀死亡的几率高于年轻组，50至59岁人群相对于年龄小于20岁人群的自杀死亡粗OR估计值为（OR = 6.99；95% CI：3.02，11.07）。男性相对于女性自杀死亡的粗OR估计值和调整后OR估计值分别为（OR = 3.22；95% CI：2.58，3.93）和（OR = 3.66；95% CI：3.03，4.11）。有文化的自杀未遂者相对于文盲自杀未遂者也存在显著的额外风险（OR = 2.31；95% CI：1.35，3.95）。结果显示自杀方式没有增加的趋势。一些自杀方式，如自焚，随时间呈下降趋势，尽管无统计学意义（P = 0.089）。
我们观察到自杀危险因素的多样性，这要求预防项目更加多样化。在研究期间，自杀方式的分布各不相同。
