Zangeneh Alireza, Khademi Nahid, Farahmandmoghadam Naser, Ziapour Arash, Naderlou Reyhane, Oghli Somayyeh Shalchi, Teimouri Raziyeh, Yenneti Komali, Moghadam Shahrzad
Social Development and Health Promotion Research Center, Health Institute, Kermanshah University of Medical Sciences, Kermanshah, Iran.
Medical Ethics and History of Medicine Research Center, Tehran University of Medical Sciences, Tehran, Iran.
Front Psychiatry. 2023 Jul 31;14:1174071. doi: 10.3389/fpsyt.2023.1174071. eCollection 2023.
A suicide attempt is a major societal problem because it imposes high costs on societies worldwide. This paper analyses the spatiotemporal clustering of suicide attempt in Kermanshah, Iran from 2006-14.
This study draws on 18,333 individuals (7,234 males and 11,097 females) who attempted suicide across the Kermanshah province. Data was collected from the records of individuals registered in hospitals across the Kermanshah province between 2006 and 2014. Mean Center, Standard Deviational Ellipse (SDE), Moran's I and Kernel Density Estimation (KDE) in Arc/GIS10.6 software were used for the analysis of the spatial distribution of suicide attempt, while the chi-squared test in SPSS was used to examine the different demographic variables between groups within/outside spatial clusters of suicide.
The results show that a total of 18,331 suicide attempts (39.46% male and 60.53% female) were reported between 2006 and 2014 in the Kermanshah province. The spatial pattern of suicide attempts was clustered in 16 clusters (6 high clusters and 10 low clusters) and statistically significant differences were found within and outside the hotspots of suicide attempts. Most hot spots were formed in and around cities. Younger people were at a greater risk. The rate of suicide attempts reduced in illiterate people and increased in people with university degrees. Unmarried people were associated with a higher risk of suicide attempt than was married status for both males and females.
The results of this study could help public health practitioners and policymakers in Iran prioritize resources and target efforts for suicide attempt prevention.
自杀未遂是一个重大的社会问题，因为它给全球社会带来了高昂的成本。本文分析了2006年至2014年伊朗克尔曼沙赫自杀未遂的时空聚集情况。
本研究选取了克尔曼沙赫省18333名自杀未遂者（7234名男性和11097名女性）。数据收集自2006年至2014年克尔曼沙赫省各医院登记的个体记录。使用Arc/GIS10.6软件中的均值中心、标准差椭圆（SDE）、莫兰指数（Moran's I）和核密度估计（KDE）来分析自杀未遂的空间分布，同时使用SPSS中的卡方检验来检验自杀空间集群内外组间不同的人口统计学变量。
结果显示，2006年至2014年克尔曼沙赫省共报告了18331起自杀未遂事件（男性占39.46%，女性占60.53%）。自杀未遂的空间模式聚集在16个集群中（6个高集群和10个低集群），并且在自杀未遂热点区域内外发现了统计学上的显著差异。大多数热点形成于城市及其周边地区。年轻人的风险更大。文盲人群的自杀未遂率降低，而大学学历人群的自杀未遂率上升。无论男性还是女性，未婚者自杀未遂的风险都高于已婚者。
本研究结果有助于伊朗的公共卫生从业者和政策制定者确定资源的优先次序，并将预防自杀未遂的努力作为目标。
