Sharmin Salam Shumona, Alonge Olakunle, Islam Md Irteja, Hoque Dewan Md Emdadul, Wadhwaniya Shirin, Ul Baset Md Kamran, Mashreky Saidur Rahman, El Arifeen Shams
International Centre for Diarrhoeal Disease Research, GPO Box 128, Dhaka 1000, Bangladesh.
Department of International Health, Johns Hopkins University Bloomberg School of Public Health, Baltimore, MA 21205, USA.
Int J Environ Res Public Health. 2017 Sep 9;14(9):1032. doi: 10.3390/ijerph14091032.
The aim of the paper is to quantify the burden and risk factors of fatal and non-fatal suicidal behaviors in rural Bangladesh. A census was carried out in seven sub-districts encompassing 1.16 million people. Face-to-face interviews were conducted at the household level. Descriptive analyses were done to quantify the burden and Poisson regression was run to determine on risk factors. The estimated rates of fatal and non-fatal suicide were 3.29 and 9.86 per 100,000 person years (PY) observed, respectively. The risk of suicide was significantly higher by 6.31 times among 15-17 and 4.04 times among 18-24 olds compared to 25-64 years old. Married adolescents were 22 times more likely to commit suicide compared to never-married people. Compared to Chandpur/Comilla district, the risk of suicide was significantly higher in Narshingdi. Students had significantly lower risk of non-fatal suicidal behavior compared to skilled laborers. The risk of non-fatal suicidal behavior was lower in Sherpur compared to Chandpur/Comilla. Among adolescents, unskilled laborers were 16 times more likely to attempt suicide than students. The common methods for fatal and non-fatal suicidal behaviors were hanging and poisoning. Suicide is a major public health problem in Bangladesh that needs to be addressed with targeted interventions.
本文旨在量化孟加拉国农村地区致命和非致命自杀行为的负担及风险因素。在涵盖116万人的7个分区进行了普查。在家庭层面开展了面对面访谈。进行描述性分析以量化负担，并进行泊松回归以确定风险因素。观察到的致命和非致命自杀估计发生率分别为每10万人年3.29例和9.86例。与25 - 64岁人群相比，15 - 17岁人群的自杀风险显著高出6.31倍，18 - 24岁人群高出4.04倍。已婚青少年自杀的可能性是未婚者的22倍。与钱德布尔/科米拉区相比，纳西尔丁的自杀风险显著更高。与熟练劳动者相比，学生非致命自杀行为的风险显著更低。与钱德布尔/科米拉相比，舍尔布尔非致命自杀行为的风险更低。在青少年中，非熟练劳动者自杀未遂的可能性是学生的16倍。致命和非致命自杀行为的常见方式是上吊和中毒。自杀是孟加拉国一个需要通过有针对性的干预措施加以解决的重大公共卫生问题。
