Todeshkchuei Gholamreza Ghassemi, Molaeinezhad Mitra, Ghasemi Todeshkchuei Sare
Department of Psychiatry, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran.
Department of Sexual and Reproductive Health, Behavioral Sciences Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.
Adv Biomed Res. 2018 May 29;7:86. doi: 10.4103/abr.abr_47_17. eCollection 2018.
Suicide is one of the public health problems worldwide, but it lacks regular relevant reporting system. This issue is more important among women who play an influential role in the family and society. Therefore, the assessment of recent relevant studies is important to detect suicide-related factors and to help make the decisions about public health. The aim of the current study was to determine socioeconomic and psychological factors of suicide attempts in Iranian women using a descriptive meta-analysis method. All domestic scientific databases were searched using "suicide" keyword. A search was also done using keywords of corresponding to Medical Subject Headings including "Iran," "suicide," "psychosocial determinants," "behavior," "suicide commitment," "suicide thoughts," and "women." Overall, 3061 articles were retrieved through the initial search. Finally, 69 studies from nine provinces were included for the analysis. All statistical analyses were performed using R software version 3.2.6 with Metafor package version 1.9-9. Using nine selected studies, frequency of urban family (prevalence = 85%, 95% confidence interval [CI] = 0.68-1.00), nonacademic education (prevalence = 53%, 95% CI = 0.45-0.61), and family problems (prevalence = 34%, 95% CI = 0.19-0.49) was identified as the most important related factor of suicide compared to any other related factors. According to the results, family problems and lower education are associated with suicide attempts. Thus, providing training programs and family consultant services are recommended to reduce the incidence of suicide attempts.
自杀是全球公共卫生问题之一，但缺乏常规的相关报告系统。这个问题在对家庭和社会有重要影响的女性中更为突出。因此，评估近期的相关研究对于发现自杀相关因素以及帮助做出公共卫生决策至关重要。本研究的目的是采用描述性荟萃分析方法确定伊朗女性自杀未遂的社会经济和心理因素。使用“自杀”关键词检索了所有国内科学数据库。还使用了与医学主题词对应的关键词进行检索，包括“伊朗”“自杀”“社会心理决定因素”“行为”“自杀行为”“自杀念头”和“女性”。通过初步检索共获得3061篇文章。最后，纳入了来自九个省份的69项研究进行分析。所有统计分析均使用R软件3.2.6版本及Metafor软件包1.9 - 9版本进行。通过九项选定的研究发现，与其他任何相关因素相比，城市家庭（患病率 = 85%，95%置信区间[CI] = 0.68 - 1.00）、非学术教育（患病率 = 53%，95%CI = 0.45 - 0.61）和家庭问题（患病率 = 34%，95%CI = 0.19 - 0.49）被确定为自杀最重要的相关因素。根据研究结果，家庭问题和低教育水平与自杀未遂有关。因此，建议提供培训项目和家庭咨询服务以降低自杀未遂的发生率。
