Kirigia Joses M, Muthuri Rosenabi D K, Muthuri Newton G
Department of Research, African Sustainable Development Research Consortium (ASDRC), Nairobi, Kenya.
Faculty of Health Sciences, University of Pretoria, Hatfield, Pretoria 0002, South Africa.
Healthcare (Basel). 2020 Apr 2;8(2):84. doi: 10.3390/healthcare8020084.
Suicide is an important public health problem in the African continent whose economic burden remains largely unknown. This study estimated the monetary value of human lives lost due to suicide in the African continent in 2017. The human capital approach was applied to monetarily value the years of life lost due to premature mortality from suicide deaths (SD) among 54 African countries. A 3% discount rate was used to convert future losses into their present values. The sensitivity of monetary value of human lives lost to changes in discount rate and average life expectancy was tested. The 75,505 human lives lost from suicide had a grand total monetary value of International Dollars (Int$) 6,989,963,325; and an average present value of Int$ 92,576 per SD. About 31.1% of the total monetary value of SD was borne by high-income and upper-middle-income countries (Group 1); 54.4% by lower-middle-income countries (Group 2); and 14.5% by low-income countries (Group 3). The average monetary value per human life lost from SD was Int$ 234,244 for Group 1, Int$ 109,545 for Group 2 and Int$ 32,223 for Group 3. Evidence shows that suicide imposes a substantive economic burden on African economies. The evidence reinforces the case for increased investments to ensure universal coverage of promotive, preventive, curative and rehabilitative mental health services.
自杀是非洲大陆一个重要的公共卫生问题,其经济负担在很大程度上仍不为人知。本研究估算了2017年非洲大陆因自杀而丧失的人类生命的货币价值。采用人力资本法对54个非洲国家中因自杀死亡(SD)导致过早死亡而损失的生命年进行货币估值。使用3%的贴现率将未来损失换算为现值。测试了因自杀而丧失的人类生命的货币价值对贴现率和平均预期寿命变化的敏感性。因自杀而丧失的75,505条生命的总货币价值为6,989,963,325国际美元(Int$);每例自杀死亡的平均现值为92,576国际美元。自杀死亡总货币价值的约31.1%由高收入和中高收入国家(第1组)承担;54.4%由中低收入国家(第2组)承担;14.5%由低收入国家(第3组)承担。第1组每例因自杀死亡而丧失的人类生命的平均货币价值为234,244国际美元,第2组为109,545国际美元,第3组为32,223国际美元。有证据表明,自杀给非洲经济带来了巨大的经济负担。这一证据强化了增加投资以确保普及促进、预防、治疗和康复心理健康服务的理由。