Department of Epidemiology, School of Health, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran.
J Res Health Sci. 2024 Mar 18;24(1):e00606. doi: 10.34172/jrhs.2024.141. Epub 2024 Mar 10.
This study aimed to investigate mortality and years of life lost (YLL) due to suicide and homicide in children aged 10-19 years in southern Iran from 2004 to 2019. A cross-sectional study.
The data on all deaths due to suicide and homicide in Fars province were obtained from the population-based electronic death registration system (EDRS). Crude mortality rate and YLL were calculated. The joinpoint regression method was used to examine the trend.
During the study period, 563 cases of suicide and 218 cases of homicide in children aged 10-19 have occurred. The total number of YLL due to suicide was 9766 in men and 6261 in women. According to the joinpoint regression analysis, the trend of YLL due to suicide was increasing in males. In other words, the annual percent change (APC) was 4.8% (95% CI 0.4 to 9.5, =0.036). Additionally, there was a constant trend in females, and APC was 2.7% (95% CI -2.0 to 7.7, =0.241). The number of YLL due to homicide was 4890 in males and 1294 in females. The trend of YLL due to homicide was stable in males and females. In other words, APC was -1.6% (95% CI -5.6 to -2.6, =0.422) in males and -2.7% (95% CI -10.0 to 5.2, =0.467) in females.
Based on the findings of this study, the trend of mortality rate and YLL due to suicide in men has been increasing and it has been stable in women. Moreover, the trend of mortality due to homicide was stable for both males and females. Therefore, it is necessary to take preventive actions.
本研究旨在调查 2004 年至 2019 年伊朗南部 10-19 岁儿童自杀和他杀导致的死亡率和寿命损失年数（YLL）。这是一项横断面研究。
我们从基于人群的电子死亡登记系统（EDRS）中获取了法尔斯省所有自杀和他杀导致的死亡数据。计算了粗死亡率和 YLL。使用 joinpoint 回归方法来检测趋势。
在研究期间，10-19 岁儿童中发生了 563 例自杀和 218 例他杀。男性自杀导致的 YLL 总数为 9766 人年，女性为 6261 人年。根据 joinpoint 回归分析，男性自杀导致的 YLL 呈上升趋势。换句话说，年百分比变化（APC）为 4.8%（95%CI 0.4 至 9.5，=0.036）。此外，女性呈稳定趋势，APC 为 2.7%（95%CI -2.0 至 7.7，=0.241）。男性因他杀导致的 YLL 数为 4890 人年，女性为 1294 人年。男性和女性因他杀导致的 YLL 趋势稳定。换句话说，APC 男性为-1.6%（95%CI -5.6 至 -2.6，=0.422），女性为-2.7%（95%CI -10.0 至 5.2，=0.467）。
根据本研究的结果，男性自杀死亡率和 YLL 呈上升趋势，女性则保持稳定。此外，男性和女性因他杀导致的死亡率趋势稳定。因此，有必要采取预防措施。
