土耳其自杀相关死亡率的趋势及社会人口学决定因素：一项2009年至2022年的流行病学研究

Trends and socio-demographic determinants of suicide-related mortality in Türkiye: An epidemiological study from 2009 to 2022.

作者信息

Han Yekdeş Didem, Çağlayan Miraç, Yekdeş Ali Cem, Takır Stewart Safiye, Selçuk Emine Gökçen, Çelikkalp Ülfiye, Ekuklu Galip

机构信息

Department of Public Health, Faculty of Medicine, Trakya University, Edirne, Turkey.

出版信息

Int J Soc Psychiatry. 2025 Feb;71(1):188-198. doi: 10.1177/00207640241285817. Epub 2024 Oct 6.

DOI:10.1177/00207640241285817

PMID:39369288

Abstract

BACKGROUND

Suicide is a leading cause of death, particularly among the young age group, in Türkiye, a country with a high population of young people.

AIM

The aim of this study is determine the suicide related mortality trend and some associated socio-demographic factors in Türkiye between 2009 and 2022.

METHODS

The study includes an epidemiological trend on suicide. The Turkish Statistical Institute's data portal was used. The study population is 46,691 people (Male/female ratios = 74.6%/ 25.4%). Changes in mortality trends were evaluated using the Joinpoint Regression method with Annual Percentage Change (APC) and Average Percentage Change (AAPC) analysis.

RESULTS

Over the past 14 years in Türkiye, there has been a statistically significant increase in the standardized mortality rate among males (2009-2022 APC = .76, = .012) and a statistically non-significant decrease among females (2009-2022 APC = -1.62, = .083). According to the Nomenclature of Territorial Units for Statistics (NUTS-1) classification, the highest increase is observed in the Central Anatolia region followed by the Western Black Sea region (APC = 3.0 and 2.7, respectively; < .005). While the percentage of primary school and below has decreasing trends (2009-2022 APC = -7.11, < .005), there is a significant increase in the percentage of university graduates (2009-2016 APC = 10.87, < .001). Regarding the marital status, there is a significant decrease in the percentage of those who are married (2009-2013 APC = -3.36, < .001; 2013-2016 APC = 2.42, = .037; 2016-2022 APC = -2.31, = .003) and a significant increase in those who have never been married (2009-2013 APC = 2.63, < .001; 2013-2016 APC = -1.36, = .002).

CONCLUSION

Although suicide related mortality is below the global average, there has been an increasing trend in turkey in the last 14 years. Analytical and intervention studies on the socio-demographic determinants supporting the increasing trend are needed.

摘要

背景

在年轻人占比高的土耳其，自杀是主要死因之一，尤其在年轻人群体中。

目的

本研究旨在确定2009年至2022年土耳其自杀相关死亡率趋势及一些相关社会人口学因素。

方法

该研究包括自杀的流行病学趋势。使用了土耳其统计局的数据门户。研究人群为46,691人（男/女比例 = 74.6%/25.4%）。采用连接点回归方法结合年度百分比变化（APC）和平均百分比变化（AAPC）分析评估死亡率趋势的变化。

结果

在过去14年里，土耳其男性标准化死亡率有统计学显著上升（2009 - 2022年APC = 0.76，P = 0.012），女性有统计学不显著下降（2009 - 2022年APC = -1.62，P = 0.083）。根据统计区域单位命名法（NUTS - 1）分类，中部安纳托利亚地区自杀率上升最高，其次是西黑海地区（APC分别为3.0和2.7；P < 0.005）。小学及以下学历人群比例呈下降趋势（2009 - 2022年APC = -7.11，P < 0.005），大学毕业生比例显著上升（2009 - 2016年APC = 10.87，P < 0.001）。关于婚姻状况，已婚者比例显著下降（2009 - 2013年APC = -3.36，P < 0.001；2013 - 2016年APC = 2.42，P = 0.037；2016 - 2022年APC = -2.31，P = 0.003），未婚者比例显著上升（2009 - 2013年APC = 2.63，P < 0.001；2013 - 2016年APC = -1.36，P = 0.002）。