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1980 - 2021年伊朗自杀的流行病学趋势及决定因素,并对新冠疫情期间的情况进行洞察

Epidemiological trends and determinants of suicide in Iran with insights into the COVID-19 period, 1980-2021.

作者信息

Hushmandi Kiavash, Shahmirzalou Parviz, Ramazani Yousef, Raesi Rasoul, Ardaneh Mahdieh, Askarpour Hedyeh, Daneshi Salman

机构信息

Nephrology and Urology Research Center, Clinical Sciences Institute, Baqiyatallah University of Medical Sciences, Tehran, Iran.

Department of Biostatistics, Khoy university of Medical Sciences, Khoy, Iran.

出版信息

Popul Health Metr. 2025 Sep 15;23(1):52. doi: 10.1186/s12963-025-00416-7.

Abstract

INTRODUCTION

Suicide is a significant global health issue, responsible for 759,028 deaths worldwide in 2019. In Iran, suicide rates have fluctuated significantly from 1980 to 2020, influenced by social, economic, and psychological factors. Adolescents and young adults, in particular, face high suicide rates related to financial problems and mental health disorders. This study aims to identify trends in suicide changes in Iran and the factors influencing them.

METHODS

A mixed-methods approach was employed, with data collected from reputable sources such as the Ministry of Health and non-governmental organizations. Analytical methods included statistical software (SPSS and R) using ARIMA modeling and Joinpoint regression to assess trends, as well as the Augmented Dickey-Fuller test to ensure data stationarity.

RESULTS

The analysis revealed that from 1980 to 2021, suicide rates in Iran declined, although women generally had higher rates than men. The highest suicide rate was observed in the age group of 20-24 years. Time series models predict that suicide rates will increase in the next five years, influenced by factors such as economic crises and the COVID-19 pandemic.

CONCLUSION

This study shows that despite an overall decline in suicide rates, certain groups remain at high risk. The predicted increase in suicide rates highlights the need for urgent interventions to address economic and psychological issues, as well as reduce the social stigma associated with mental health. A detailed analysis of data is crucial for developing effective preventive strategies to reduce suicide rates in Iran.

摘要

引言

自杀是一个重大的全球健康问题,2019年全球有759,028人死于自杀。在伊朗,1980年至2020年期间自杀率波动显著,受到社会、经济和心理因素的影响。尤其是青少年和年轻人,面临着与经济问题和心理健康障碍相关的高自杀率。本研究旨在确定伊朗自杀率变化趋势及其影响因素。

方法

采用混合方法,数据来自卫生部和非政府组织等可靠来源。分析方法包括使用ARIMA建模和Joinpoint回归评估趋势的统计软件(SPSS和R),以及增强迪基-富勒检验以确保数据平稳性。

结果

分析显示,1980年至2021年期间,伊朗自杀率下降,尽管女性自杀率总体高于男性。自杀率最高的年龄组为20-24岁。时间序列模型预测,受经济危机和新冠疫情等因素影响,未来五年自杀率将上升。

结论

本研究表明,尽管自杀率总体下降,但某些群体仍处于高风险之中。自杀率的预测上升凸显了迫切需要采取干预措施来解决经济和心理问题,并减少与心理健康相关的社会耻辱感。对数据进行详细分析对于制定有效的预防策略以降低伊朗的自杀率至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bd59/12439380/2c811901d6fe/12963_2025_416_Fig1_HTML.jpg

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