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2016年至2023年伊朗东南部新冠疫情前后自杀趋势比较。

Comparison of the trend of suicide before and after the COVID-19 pandemic in Southeast Iran from 2016 to 2023.

作者信息

Movahed Ehsan, Afsharmanesh Asma, Aqarabi Hadiseh, Raesi Rasoul, Hushmandi Kiavash, Daneshi Salman

机构信息

Department of Public Health, School of Public Health, Jiroft University of Medical Sciences, Jiroft, Iran.

School of Medicine, Imam Khomeini Hospital, Jiroft University of Medical Science, Jiroft, Iran.

出版信息

BMC Public Health. 2025 Jan 7;25(1):66. doi: 10.1186/s12889-024-21265-3.

Abstract

BACKGROUND

Suicide, as one of the most important psychological consequences of the COVID-19 pandemic, can be a threat to public health. Understanding the changes in suicide rates before and after the pandemic provides insights into the psychological effects of such crises on communities. This study aimed to compare the trends in suicide and suicide attempt rates in Southeast Iran before and after the COVID-19 pandemic, covering the period from 2016 to 2023.

METHODS

This descriptive-analytical study was conducted through a census method on 5676 individuals who attempted suicide from 2016 to 2023. Medical records of those who attempted suicide were collected from the integrated system of the Ministry of Health (SIB) during the specified years. The data was collected using a checklist and analyzed with descriptive and inferential statistical tests at the significance level of P < 0.05.

RESULTS

The findings indicate a significant increase in suicide rates after the COVID-19 pandemic, with 61.8% of the total 5,676 cases occurring post-pandemic compared to 38.2% before. The most affected demographic was young adults aged 19 to 34, whose suicide rates increased by a factor of 9.8, while women experienced a notable rise of 28.2 times in suicide rates after the pandemic. Additionally, uneducated individuals had the highest suicide rates, with a dramatic increase of 35.8 times among illiterate individuals after COVID-19, highlighting the urgent need for targeted mental health interventions and support systems.

CONCLUSION

A significant increase in suicide rates after the COVID-19 pandemic, particularly among young adults and women, highlights the urgent need for targeted mental health interventions, especially for vulnerable groups such as housewives and single individuals. Additionally, the correlation between education levels and suicide rates underscores the importance of addressing educational disparities as part of comprehensive mental health strategies.

摘要

背景

自杀作为新冠疫情最重要的心理后果之一,可能对公众健康构成威胁。了解疫情前后自杀率的变化,有助于洞察此类危机对社区的心理影响。本研究旨在比较2016年至2023年期间伊朗东南部新冠疫情前后的自杀及自杀未遂率趋势。

方法

本描述性分析研究通过普查法对2016年至2023年期间5676名自杀未遂者进行。在指定年份从卫生部综合系统(SIB)收集自杀未遂者的医疗记录。数据通过清单收集,并使用描述性和推断性统计检验进行分析,显著性水平为P < 0.05。

结果

研究结果表明,新冠疫情后自杀率显著上升,在总计5676例病例中,61.8%发生在疫情后,而疫情前为38.2%。受影响最大的人群是19至34岁的年轻人,其自杀率增长了9.8倍,而女性在疫情后的自杀率显著上升了28.2倍。此外,未受过教育的人自杀率最高,文盲个体在新冠疫情后的自杀率急剧上升了35.8倍,凸显了针对性心理健康干预和支持系统的迫切需求。

结论

新冠疫情后自杀率显著上升,尤其是在年轻人和女性中,这凸显了针对性心理健康干预的迫切需求,特别是针对家庭主妇和单身人士等弱势群体。此外,教育水平与自杀率之间的相关性强调了在全面心理健康策略中解决教育差距问题的重要性。

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