Non-Communicable Diseases Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.
Shiraz University of Medical Sciences, Mental Health, Shiraz University of Medical Sciences, Shiraz, Iran.
Arch Iran Med. 2022 Jan 1;25(1):12-16. doi: 10.34172/aim.2022.03.
Suicide is a major public health concern with diversity in epidemiological aspects and applied methods. In this study, we estimate years of life lost (YLLs) related to completed suicidal in the Fars province, southern Iran.
Our study included data of all mortality events during 2011-2018 from Fars Suicide Surveillance System (FSSS). The validity of qualitative and quantitative variables was assessed through contrasting data between different sources and phone call justification. Case-fatality rates, age-specific and gender-specific mortality rates, ASR (age standardized rate), and YLLs through WHO's 2015 "YLL template" were calculated.
During the study period, 2384 mortalities with a mean age of 32.73±15.65 had been registered. Most of them were males (male: 70.05% vs. female: 29.95%; male-female ratio: 2.33), hanging was the most frequent method (29.94%), and an increasing pattern in successful suicidal attempts was observed. The total YLLs were calculated to be 58669 years (14.71 per 1000 persons). Regardless of year or gender, suicide had the largest YLLs amongst those aged 15-29 years.
Regarding the increasing trend in YLLs and observing the highest rate of successful suicidal attempts amongst active and productive members of community, a comprehensive inter organizational reaction is demanded.
自杀是一个重大的公共卫生关注点，具有多样性的流行病学特征和应用方法。在这项研究中，我们估计伊朗南部法尔斯省完成自杀的生命损失年数（YLL）。
我们的研究包括 2011-2018 年期间来自法尔斯自杀监测系统（FSSS）的所有死亡事件数据。通过不同来源的数据对比和电话核实来评估定性和定量变量的有效性。计算病死率、年龄别和性别别死亡率、按世界卫生组织 2015 年“YLL 模板”计算的年龄标准化死亡率（ASR）和 YLL。
在研究期间，共登记了 2384 例平均年龄为 32.73±15.65 岁的死亡病例。他们中的大多数是男性（男性：70.05%，女性：29.95%；男女比例：2.33），最常见的方法是上吊（29.94%），并且观察到成功自杀企图的模式呈上升趋势。总 YLL 计算为 58669 年（每 1000 人 14.71 年）。无论年份或性别如何，自杀是 15-29 岁人群中 YLL 最大的原因。
鉴于 YLL 的增加趋势，以及观察到社区中活跃和有生产力的成员中成功自杀企图的比例最高，需要进行全面的跨组织反应。
