Department of Epidemiology and Biostatistics, School of Health, Occupational Environment Research Center, Rafsanjan University of Medical Sciences, Rafsanjan, Iran.
Non-Communicable Diseases Research Center, Rafsanjan University of Medical Sciences, Rafsanjan, Iran.
Sci Rep. 2024 May 29;14(1):12298. doi: 10.1038/s41598-024-63079-8.
Suicide is a major public health challenge worldwide with an increasing trend. Identifying risk factors for suicide attempts and suicide deaths may help find useful ways to prevent suicide. We aimed to determine the trend and related factors of suicide attempts and suicide deaths in Rafsanjan. This retrospective study included all suicide cases from 2018 to 2022 in Rafsanjan, a city in the southeast of Iran. The information was extracted from the suicide registration system of Rafsanjan University of Medical Sciences. Univariable and multivariable logistics regression models were used to investigate factors affecting suicide death. A total of 2039 cases of suicide, including 1932 cases (94.75%) of suicide attempts and 107 cases (5.25%) of suicide deaths were recorded during the study period. The frequency of suicide deaths and suicide attempts per 100,000 people increased in 2022 compared to 2018 in both genders. In the adjusted model, the odds of suicide deaths in males was 6.48 (95% CI 3.39-12.42) times higher than in females. Also, the odds of suicide deaths in unemployed subjects and housewives were 2.64 (95% CI 1.50-4.67) and 7.45 (95% CI 3.08-18.07) times higher than employed subjects respectively. Finally, people with education less than a diploma had 10.85 (95% CI 1.48-79.54) times higher odds of suicide deaths compared to people with university education. The present research showed that the pattern of suicide has been increasing since 2018, and we may see an upward trend in the coming years, which requires further investigation and preventive measures. Male gender, low education level, unemployment, and being a housewife were associated with the highest frequency of suicide death.
自杀是一个全球性的主要公共卫生挑战，且呈上升趋势。确定自杀未遂和自杀死亡的风险因素可能有助于找到预防自杀的有用方法。我们旨在确定拉夫桑詹自杀未遂和自杀死亡的趋势和相关因素。这项回顾性研究包括 2018 年至 2022 年期间拉夫桑詹的所有自杀案例，拉夫桑詹是伊朗东南部的一个城市。信息是从拉夫桑詹医科大学自杀登记系统中提取的。采用单变量和多变量逻辑回归模型来调查影响自杀死亡的因素。在研究期间，共记录了 2039 例自杀案例，包括 1932 例（94.75%）自杀未遂和 107 例（5.25%）自杀死亡。与 2018 年相比，2022 年男性和女性的自杀死亡和自杀未遂率每 10 万人都有所增加。在调整后的模型中，男性自杀死亡的几率是女性的 6.48 倍（95%CI 3.39-12.42）。此外，失业者和家庭主妇自杀死亡的几率分别是就业者的 2.64 倍（95%CI 1.50-4.67）和 7.45 倍（95%CI 3.08-18.07）。最后，与具有大学学历的人相比，学历低于文凭的人自杀死亡的几率高 10.85 倍（95%CI 1.48-79.54）。本研究表明，自 2018 年以来，自杀模式一直在增加，我们可能会在未来几年看到上升趋势，这需要进一步调查和预防措施。男性、低教育水平、失业和家庭主妇是与自杀死亡频率最高相关的因素。
