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伊朗自杀行为的多中心注册研究经验(2019-2022 年)。

A Multicenter Registry Experience for Suicidal Behaviors in Iran (2019-2022).

机构信息

Mental Health Research Center, Iran University of Medical Sciences, Tehran, Iran.

Geriatric Mental Health Research Center, School of Behavioral Sciences and Mental Health, Iran University of Medial Sciences, Tehran, Iran.

出版信息

Arch Iran Med. 2024 Jul 1;27(7):371-378. doi: 10.34172/aim.28558.

DOI:10.34172/aim.28558
PMID:39072385
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11316185/
Abstract

BACKGROUND

Considering the limited information on suicide determinants, especially in low- and middle-income countries, the establishment and promotion of a suicide registration system are among the prominent strategies for suicide prevention programs around the world. The multicenter suicide registry is designed to collect standardized data from the two provinces of Iran according to the latest World Health Organization (WHO) guidelines.

METHODS

The Suicidal Behavior Registration Program is a multicenter study designed in five stages, including literature review, infrastructure establishment, database design, training, data analysis, and examining opportunities and challenges. The research samples cases of suicide attempts and self-harm from hospitals in the provinces of Tehran and Ilam.

RESULTS

The multicenter suicide registration program was carried out for 8 months in the two provinces of Tehran and Ilam. During the study period, data of 1382 people were registered, of which 7 cases in Ilam resulted in death. The study uncovered significant differences in socio-demographic, psychological status, and suicide characteristics in the two provinces.

CONCLUSION

The design and implementation of the suicide registration program help researchers and policymakers make more innovative and effective interventions to prevent suicide by creating a comprehensive database of suicidal behavior determinants.

摘要

背景

鉴于自杀决定因素的信息有限,特别是在中低收入国家,建立和推广自杀登记系统是全球预防自杀计划的突出策略之一。多中心自杀登记处旨在根据世界卫生组织(WHO)的最新指南,从伊朗的两个省份收集标准化数据。

方法

自杀行为登记方案是一个多中心研究,设计分为五个阶段,包括文献综述、基础设施建设、数据库设计、培训、数据分析以及审查机会和挑战。该研究的样本包括来自德黑兰和伊拉姆两省医院的自杀未遂和自残案例。

结果

多中心自杀登记处项目在德黑兰和伊拉姆两省进行了 8 个月。在研究期间,共登记了 1382 人的数据,其中伊拉姆有 7 例死亡。研究发现,两省在人口统计学、心理状态和自杀特征方面存在显著差异。

结论

自杀登记方案的设计和实施通过创建自杀行为决定因素的综合数据库,帮助研究人员和政策制定者制定更具创新性和更有效的干预措施,以预防自杀。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef23/11316185/8cc3847112e5/aim-27-371-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef23/11316185/85de3ce34ad1/aim-27-371-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef23/11316185/1a689e8e461a/aim-27-371-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef23/11316185/ec9c26df307a/aim-27-371-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef23/11316185/8cc3847112e5/aim-27-371-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef23/11316185/85de3ce34ad1/aim-27-371-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef23/11316185/1a689e8e461a/aim-27-371-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef23/11316185/ec9c26df307a/aim-27-371-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef23/11316185/8cc3847112e5/aim-27-371-g004.jpg

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本文引用的文献

1
Rate and Causes of Suicide in Ilam: A Report of the Suicide Registry.伊拉姆的自杀率及原因:自杀登记处报告
Iran J Psychiatry. 2022 Jul;17(3):312-319. doi: 10.18502/ijps.v17i3.9732.
2
Multisite sentinel surveillance of self-harm in New Zealand: protocol for an observational study.新西兰多处哨点监测自伤自残情况的研究方案:一项观察性研究
BMJ Open. 2022 May 25;12(5):e054604. doi: 10.1136/bmjopen-2021-054604.
3
A cohort study of initial self-harm events: method-specific case fatality of index events, predictors of fatal and nonfatal repetition, and frequency of method-switching.
一项初始自伤事件的队列研究:指标事件的特定方法病死率、致死和非致死重复的预测因素,以及方法转换的频率。
Int Rev Psychiatry. 2021 Nov;33(7):598-606. doi: 10.1080/09540261.2021.1901668. Epub 2021 Jul 8.
4
Factors explaining variation in recommended care pathways following hospital-presenting self-harm: a multilevel national registry study.解释因医院就诊的自残行为导致推荐护理路径差异的因素:一项全国性多层次登记研究。
BJPsych Open. 2020 Nov 25;6(6):e145. doi: 10.1192/bjo.2020.116.
5
Age Changes and Suicidal Activity in Iran Over the Past Decade: A Systematic Review and Meta-Analysis.过去十年中伊朗的年龄变化与自杀行为:系统评价和荟萃分析。
Omega (Westport). 2022 Nov;86(1):312-337. doi: 10.1177/0030222820966934. Epub 2020 Oct 26.
6
Is suicidal behaviour a stronger predictor of later suicide than suicidal ideation? A systematic review and meta-analysis.自杀行为是否比自杀意念更能预测后续的自杀行为?系统评价和荟萃分析。
Aust N Z J Psychiatry. 2021 Mar;55(3):254-267. doi: 10.1177/0004867420931161. Epub 2020 Jun 24.
7
Risk factors associated with suicidal ideation and suicide attempts in Bhutan: An analysis of the 2014 Bhutan STEPS Survey data.不丹与自杀意念和自杀未遂相关的风险因素:对 2014 年不丹 STEPS 调查数据的分析。
PLoS One. 2020 Jan 30;15(1):e0225888. doi: 10.1371/journal.pone.0225888. eCollection 2020.
8
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J Psychiatr Res. 2020 Mar;122:17-21. doi: 10.1016/j.jpsychires.2019.12.011. Epub 2019 Dec 20.
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