Rostami Changiz, Karami Khodabakhsh, Daliri Salman, Mardani Afsaneh, Narimisa Firouzeh
Arch Med Sadowej Kryminol. 2017;67(1):46-60. doi: 10.5114/amsik.2017.70337.
Aim of the study: Suicide is a worldwide major public health problem. This study was carried out in Khuzestan province for the examination of the epidemiology of suicide. Material and methods: This is a descriptive-cross-sectional study on epidemiology of suicide in 23 township of Khuzestan provinces, during 2011 to 2014. Data were collected from records in Mental Health Units in Khuzestan Province which has located in South West of Iran. Statistical analysis was performed using SPSS-22 software. Results: from 11180 recorded suicides, about 60% were female and about 40% were male. The cumulative incidence of suicide attempts was estimated 339/100,000.The highest suicide rate was from the city of Masjed Soleiman with an annual average incidence of 327/100,000 cases of suicide. Most common method of suicide was drug abuse (279/100,000) and most common method of Completed Suicides was hanging (7/100,000). The most important motivation of the suicide was related to Familial discords by 72/100,000 of suicide attempts and 4/100,000 cases of suicide deaths and the highest incidence occurred among the people in the age range of 24-18 years. The suicide attempts and suicide deaths increased over studied years. Conclusions: According to the results, the most common suicide method was drug abuse and the family discord was the most motivated suicide. Moreover, highest incidence of suicide was among the age group of 18-24 years. Educational programs should be provided in fields of problem solving skills and crisis management in relation to life problems. Also facilitating access to specialized psychological and psychiatric services, and appropriate intervention plans is essential.
自杀是一个全球性的重大公共卫生问题。本研究在胡齐斯坦省开展,旨在调查自杀的流行病学情况。
这是一项关于2011年至2014年期间胡齐斯坦省23个乡镇自杀流行病学的描述性横断面研究。数据收集自位于伊朗西南部的胡齐斯坦省心理健康单位的记录。使用SPSS - 22软件进行统计分析。
在11180例有记录的自杀事件中,约60%为女性,约40%为男性。自杀未遂的累积发生率估计为339/10万。自杀率最高的是马斯吉德苏莱曼市,年平均自杀发生率为327/10万例。最常见的自杀方式是药物滥用(279/10万),最常见的自杀成功方式是上吊(7/10万)。自杀的最重要动机与家庭不和有关,自杀未遂者中有72/10万,自杀死亡者中有4/10万,最高发生率出现在18 - 24岁年龄段的人群中。在研究期间自杀未遂和自杀死亡人数有所增加。
根据研究结果,最常见的自杀方式是药物滥用,家庭不和是最主要的自杀动机。此外,18 - 24岁年龄组的自杀发生率最高。应在解决生活问题的技能和危机管理方面提供教育项目。同时,促进获得专业心理和精神科服务以及制定适当的干预计划至关重要。