Amini Saeed, Bagheri Parnia, Moradinazar Mehdi, Basiri Mona, Alimehr Mostafa, Ramazani Yousef
Department of Health Services Management, Health School, Arak University of Medical Sciences, Arak, Iran.
Behavioral Disease Research Center, Kermanshah University of Medical Sciences, Kermanshah, Iran.
Clin Epidemiol Glob Health. 2021 Jan-Mar;9:299-303. doi: 10.1016/j.cegh.2020.10.002. Epub 2020 Oct 11.
Suicide is proposed as an important and growing issue in public health. The aim of this study is to compare suicide load in the Middle East and North Africa (MENA) countries in order to pave the way for correct health policy making.
The population included 21 MENA countries. The data of Global Burden of Diseases in 2017 that estimate death rate for 264 causes was used. The GBD considers suicide according to definition of the ninth and tenth editions of the international classification of diseases as death due to poisoning or intentional self-injury. All suicide-related analyzes were evaluated using these indicators in excel 2016.
The highest percentage of total suicide DALY attributable to risk factors of Alcohol and drug use are related to United Arab Emirates and Afghanistan countries, respectively. Iran is the sole country without suicide DALY attributable to alcohol consumption risk factor. Moroccan women and Libya, Afghanistan and Yemen men have the highest DALY rates in terms of ASR in the region, respectively. Suicide incidence have an increasing trend until the age group of 20-24 and then a decreasing trend. This trend is on the rise again since the age of 65.
The necessity to improve social, cultural and economic factors along with effective measures on suicide prevention especially among low and middle income countries, performing more studies and precise registration of the cases especially in the areas that suicide is considered social stigma and crime should be considered as high agenda in national and regional strategies.
自杀被认为是公共卫生领域一个重要且日益严重的问题。本研究旨在比较中东和北非（MENA）国家的自杀负担，以便为制定正确的卫生政策铺平道路。
研究对象包括21个中东和北非国家。使用了2017年全球疾病负担数据，该数据估计了264种病因的死亡率。全球疾病负担根据国际疾病分类第九版和第十版的定义，将自杀视为中毒或故意自伤导致的死亡。所有与自杀相关的分析均在Excel 2016中使用这些指标进行评估。
归因于酒精和药物使用风险因素的自杀伤残调整生命年（DALY）总数的最高百分比分别与阿拉伯联合酋长国和阿富汗有关。伊朗是唯一一个没有归因于饮酒风险因素的自杀DALY的国家。就年龄标准化率（ASR）而言，摩洛哥女性以及利比亚、阿富汗和也门男性在该地区的DALY率最高。自杀发生率在20 - 24岁年龄组之前呈上升趋势，之后呈下降趋势。自65岁起，这一趋势再次上升。
改善社会、文化和经济因素以及采取有效措施预防自杀的必要性，特别是在低收入和中等收入国家，开展更多研究并精确记录病例，尤其是在自杀被视为社会耻辱和犯罪的地区，应被视为国家和地区战略中的重要议程。
