Epidemiology and Biostatistics Department, Occupational Environmental Research Center, Rafsanjan University of Medical Sciences, Rafsanjan, Iran.
Usher Institute, University of Edinburgh, UK.
Crisis. 2022 Jul;43(4):344-347. doi: 10.1027/0227-5910/a000788. Epub 2021 May 27.
Iran is one of the few countries in the Eastern Mediterranean Region (EMR) to have developed a national suicide prevention program (NSPP). This report introduces Iran's NSPP to policy planners and researchers working in suicide prevention, and is intended to encourage other low- and middle-income countries to develop, implement, and evaluate their own NSPPs. This was a case study of a NSPP in one country, integrating quantitative and qualitative data. Bibliographic searches were conducted using both international and national databases, supplemented by other documents. The study benefited from the experiential evidence provided by the senior author. While the national incidence of suicide is low, there are higher rates among young adults, particularly women, in western regions. In 2010, Iran's NSPP was integrated into primary health care. A rigorous evaluation of Iran's suicide prevention program concluded that Iran has the potential to take a leadership role in suicide prevention within the EMR, although several challenges were identified. The findings of this case study cannot be generalized to other contexts. Given Iran's unstable situation, the NSPP needs to be monitored, evaluated, and adjusted according to evidence and ongoing changing national and local needs.
伊朗是东地中海地区（EMR）少数制定国家自杀预防计划（NSPP）的国家之一。本报告向从事自杀预防工作的政策规划者和研究人员介绍了伊朗的 NSPP，旨在鼓励其他中低收入国家制定、实施和评估自己的 NSPP。这是对一个国家的 NSPP 的案例研究，综合了定量和定性数据。使用国际和国家数据库进行了文献检索，并补充了其他文件。这项研究受益于资深作者提供的经验证据。尽管全国自杀率较低，但西部地区年轻人，尤其是女性的自杀率较高。2010 年，伊朗的 NSPP 纳入初级卫生保健。对伊朗自杀预防计划的严格评估得出结论，伊朗有潜力在东地中海地区发挥领导作用预防自杀，但也确定了一些挑战。这项案例研究的结果不能推广到其他情况。鉴于伊朗不稳定的局势，需要根据证据和不断变化的国家和地方需求对 NSPP 进行监测、评估和调整。
