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伊朗东部自杀/自杀未遂的流行病学及其与个体、家庭和社会因素的关联:一项历史性队列研究

Epidemiology of Suicide/Suicide Attempt and Its Association with Individual, Family, and Social Factors in Eastern Part of Iran: A Historical Cohort Study.

作者信息

Alami Ali, Nejatian Mahbobeh, Lael-Monfared Elaheh, Jafari Alireza

机构信息

Department of Public Health, School of Public Health, Gonabad University of Medical Sciences, Gonabad, Iran.

Social Determinants of Health Research Center, Gonabad University of Medical Sciences, Gonabad, Iran.

出版信息

Iran J Public Health. 2019 Aug;48(8):1469-1477.

PMID:32292730
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7145930/
Abstract

BACKGROUND

Suicide/suicide attempt, as a major public health problem, has been included among anti-social behaviors. We aimed to investigate the epidemiology of suicide and some associated individual, family, and social factors.

METHODS

A historical cohort study was conducted among all cases (748 persons) reports related to suicide/suicide attempt that register in hospital reporting system and health care center in Gonabad and Bajestan, Iran, from 2009 to 2014. The required data were extracted through a checklist. Descriptive (mean and standard deviation) and analytic statistics (-test, Chi-square, and logistic regression) applied to analyzed data. All data were analyzed using SPSS software.

RESULTS

Of the 748 reported suicide attempters, 17 cases (2.3%) had completed suicide. The annual average incidence rate of suicide was 110.03 per 100,000 populations. The mean age of suicide attempt had significantly decreased during the time (=0.007). Furthermore, a significant association was observed between outcome of suicide and place of residence (=0.019), history of physical illnesses (=0.002), and method of suicide (=0.001).

CONCLUSION

Due to trend of age among suicide attempters, considering intervention programs of suicide prevention for school pupils and university students especially individuals residing in rural areas, as well as individuals suffering from physical illness would be effective to reduce the rate of suicide.

摘要

背景

自杀/自杀未遂作为一个主要的公共卫生问题,已被纳入反社会行为之中。我们旨在调查自杀的流行病学情况以及一些相关的个人、家庭和社会因素。

方法

对2009年至2014年期间在伊朗戈纳巴德和巴杰斯坦的医院报告系统和医疗保健中心登记的所有与自杀/自杀未遂相关的病例报告(748人)进行了一项历史性队列研究。所需数据通过一份清单提取。描述性统计(均值和标准差)和分析性统计(t检验、卡方检验和逻辑回归)用于分析数据。所有数据均使用SPSS软件进行分析。

结果

在748例报告的自杀未遂者中,有17例(2.3%)自杀身亡。自杀的年平均发病率为每10万人110.03例。在此期间,自杀未遂的平均年龄显著下降(P = 0.007)。此外,观察到自杀结局与居住地点(P = 0.019)、身体疾病史(P = 0.002)和自杀方法(P = 0.001)之间存在显著关联。

结论

由于自杀未遂者的年龄趋势,考虑针对小学生和大学生,特别是农村地区居民以及患有身体疾病的个人开展自杀预防干预项目,将有助于降低自杀率。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e95b/7145930/db0b15799a76/IJPH-48-1469-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e95b/7145930/db0b15799a76/IJPH-48-1469-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e95b/7145930/db0b15799a76/IJPH-48-1469-g001.jpg

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