Characteristics of suicide attempts in Northwestern Iran: a five-year populationbased survey (original) (raw)

Completed and Attempted suicide in Ilam, Iran (1995-2002): Incidence and associated factors

Archives of Iranian medicine

Background: Understanding the epidemiology of suicide will increase awareness of suicide as a major public health problem. The epidemiology of suicide is described for the first time in Ilam, Iran. To describe the incidence of and factors associated with completed and attempted suicide in Ilam (western part of Iran), a longitudinal prospective case-register study was conducted from 1995 to 2002.

An Epidemiological Survey of the Suicide Incidence Trends in the

2013

Background: Elimination of suicide attempts is impossible, but they can be reduced dramatically by an organized planning. The present study aimed to survey the suicide trends in Fars province (Iran), during 2004-2009 to better understand the prevalence and status of suicide. Methods: This survey was a cross-sectional study. The demographic data were collected from the civil status registry between 2004 and 2009. Suicide and suicide attempt data were collected of three sources including the affiliated hospitals of Shiraz University of Medical Sciences, mortality data of Vice Chancellery of Health in Fars province and data from forensic medicine. Then, they were analyzed by Excel and SPSS. Chi-square and regression analyses were used for data analysis. Results: During the study, 10671 people attempted suicide, of which 5697 (53%) were women and 4974 (47%) were men. Among them, 1047 people (9.8%) died, of which 363 (34%) were women and 679 (64%) were men. There was a significant relati...

A study of people who attempted suicide referred to the emergency ward of Ali Ibn Abi Taleb hospital, Rafsanjan, Iran (2016)

2018

Background: Suicide attempts, being considered from among psychiatric emergencies, are under the category of social and health problems that affect the individual, the family, and even the community. This study was conducted to determine the characteristics of people who attempted suicide referred to the emergency ward of Ali Ibn Abi Taleb hospital in the city of Rafsanjan, Iran in 2016. Materials and Methods: This descriptive study was conducted using a census on 347 individuals who had attempted to suicide and were referred to the emergency ward of Ali Ibn Abi Taleb hospital in the city of Rafsanjan, in 2016. Data collection was conducted on a monthly basis using the checklist of the suicide prevention plan provided to the emergency wards by the health department. The data were analyzed using SPSS and Chi-square and Fisher’s exact tests were applied. Results: 347 cases of suicide attempts were occurred, with three cases (0.9%) leading to death. The mean age of the individuals who attempted suicide was 26.15 years, with the standard deviation of 8.81 years. Among those individuals, 268 individuals (77.2%) had attempted suicide only once, 54 individuals (13%) twice. About 190 individuals (54.8%) were women, and 138 individuals (73.4%) carried out suicide using drugs. Conclusion: It can be concluded that considering the easy access of the people to drugs, the most prevalent method of suicide was using drugs. Besides, having the highest percentage of suicide, women are leading in suicide attempts.

Epidemiology of suicide attempts and deaths: A population-based study in the South of Iran (2012–2017)

Journal of Health Sciences and Surveillance System, 2020

Background: Suicide is a multi-factorial phenomenon whose patterns can vary even from one place to another in one country; the purpose of this study was to determine the causes of suicide attempt in a 6-year period in Larestan County in the period between 2012 and 2017. Methods: The present study was a descriptive-analytic crosssectional study. In order to investigate the epidemiological condition of suicide attempters in Larestan, all files of suicide cases registered in the period between 2012 and 2017 in this city were investigated, and finally 723 cases were included in the study. For statistical analysis, independent t-test, chi-square and logistic regression models were used. A significance level of 5% was considered. Results: Of the total 723 suicide attempts recorded in the health network of Larestan, the mean age at suicide attempt was 26.08±7.88 years and 3.73% of them had died as a result of suicide attempt. Drug abuse and poisoning were the most common methods of suicidal attempt. Based on the regression model, Increase in age, male sex, and physical problems were the most important factors in predicting suicide death (P<0.05). Conclusion: Various factors including age, male gender and physical problems contribute to suicide and deaths associated with it; therefore, the implementation of educational and counseling programs for these individuals, especially in adolescence and youth, and people with physical and psychological problems is essential.

Completed suicide and associated risk factors: a six-year population based survey

Abstract INTRODUCTION: The investigations on suicide conducted within low- and middle-income countries are limited. This study evaluated the trend of suicide and its associated risk factors in the west of Iran. METHODS: This six-year population-based survey was conducted in Kermanshah Province, in 2012. The data on suicide was extracted from the suicide database of the Provincial Health Center, which was collected for six successive years. Multivariate logistic regression analysis was performed and odds ratio (OR) as well as its 95% confidence intervals (CI) was reported. RESULTS: During the study period, 13,810 attempted suicides occurred of which 1,564 (11.33%) were completed. The incidence rate of suicide has increased in recent years. Based on logistic regression analysis, OR estimate of completed suicide increased 1.46 (95% CI: 1.36, 1.56) fold for every 10-year increase in age. Moreover, OR estimate of completed suicide was 2.53 (95% CI: 1.94, 3.31) in men compared to women. Compared to married people, the OR estimate of completed suicide was 1.41 (95% CI: 1.15, 1.72) in single people, 1.92 (95% CI: 1.15, 3.23) in widowed people, and 1.97 (1.32, 2.95) in divorced people. The lower the educational level, the higher the risk of completed suicide. Compared to school/college students, the risk of completed suicide was higher among housewives, employed people or employees, and retirees. A majority of the suicides (90.05%) occurred at home. Taking medications was the most common way (69.13%) of a suicide attempt. CONCLUSION: We indicated that associated factors with completed suicide vary in Iran compared to other developed and developing countries and that factors associated with attempted suicide are different from that of completed suicide.

Epidemiological Study of Attempting Suicide and the Associating Factors in Boyer-Ahmad County, IR IRAN,(2008-2009)

Life Science Journal

Introduction: Nowadays, suicide is one of the main social and mental health problems in the world. It is the third death factor among adolescents and the seventh among the youth. As Iran s population is young, paying attention to the problem is necessary. The objective of the study was epidemiological investigation of suicide and the associating factors in Boyer-Ahmad County. Materials and methodology: In this descriptive-analytical study, all cases of attempting suicide, which were on randomly selected days in one year (2008)(2009), were reviewed and finally 157 cases participated in the project. They had turned to the emergency department every week over one year or had been admitted to the hospitals in Yasuj and had been willing to cooperate with the project. Through the use of SPSS statistical software and reporting the central and dispersion indicators, frequency distribution table and chi-square test, the data was analyzed. Findings: Fifty two percent of the population under study was female and %51 was residing in urban areas. The highest grades of the cases attempting suicide were related to Saturdays and Thursdays with %20 and May. June, February. March with %12. Suicide has been attempted most among the age group of 19-25. Sixty six percent of the injured had attempted suicide by means of drug and poison, %33 through self-immolation and %1 by hanging themselves. Seven percent of the suicide attempters died, %45 was damaged and %48 was physically recovered. The death rate resulting from the use of drug was %1, self-immolation %16 and hanging %100. Self-immolation has been attempted most by the use of petroleum (%87) and then petrol (%13). Mean and standard deviation of treatment duration were 56.1 2.3 . The rate of attempting suicide and its 95% confidence interval was estimated 80.74 (77.73 and 83.75) individuals among females, 50.31 (47.69 and 52.91) among males and 65.04 (62.24 and 67.84) among total population from among one hundred individuals. Death rate resulting from suicide as well was estimated 9.34 (7.44 and 10.24) individuals among females, 5.33 (4.13 and 6.53) among males and 7.34 (5.83 and 8.84) among total population from among one hundred people. Discussion and conclusion: In the region under study, the rate of attempting suicide and the resulting death is higher than the national average and lower than the rate in Ilam a province in Iran. Comparing with Christian, Buddhist and some Muslim countries like Turkey, these rates are lower, but higher compared with Saudi Arabia, Kuwait and the Emirates. Mostly, family conflicts and love failure are the causes of attempting suicide; and appropriate and sustainable solutions are to be reviewed and become operational for prevention and treatment of this health and medical problem.

Trend of Suicide in Iran During 2009 to 2012: Epidemiological Evidences from National Suicide Registration

Iranian Journal of Psychiatry and Behavioral Sciences, 2016

Background: Suicide behaviors cause a large portion of Disability adjusted life years worldwide. Objectives: The aim of this research was to study the trend, correlations and discrepancy of registered suicide incidents in Iran from 2009 to 2012 using data from the Iranian suicide registry. Materials and Methods: Suicide registry entries throughout the country between 2009 and 2012, including suicidal attempts and suicides, were collected. Data on age, gender, occupational, marital and residential status along with suicide method, history of previous attempt and history of medical or mental disorders were registered by health service provision staff at the service centers. Geographic mapping and statistical analysis were performed. Results: Amongst the 252911 attempted suicides during the period, we found suicide attempt and suicide rate of 30.5-44.8 and 1.76-2.23 per 100000 individuals, respectively, denoting overall suicide fatality rate of 2.63%. The rate of suicide attempt in different provinces ranged between 0.7 and 271.1 and the rate of suicide between 0.17 and 17.7 per 100000 individuals. Attempted suicides showed more fatality in males, elderly, widow/widowers, divorced and unemployed subjects as well as in residents of rural areas. The most common attempt methods were medication overdose (84%), and the most common suicide methods were hanging (30.3%), medications overdose (28.1%) and self-burning (17.9%); these methods are found at different rates in various parts of the world. Conclusions: While the registry could provide us the most valid data on suicide, the wide range of suicide and suicide attempt rates in different provinces not only could question this statement but also could highlight the importance of studying the ethnic/geographic variations in suicide epidemiology with improved suicide registry and surveillance systems.

Characteristics of Hospitalized Patients Following Suicide Attempt in Hamadan District, Iran

Oman Medical Journal, 2012

Objectives: Limited research has been undertaken on suicide in developing countries. This paper aims to investigate characteristics of suicide attempts in Hamadan district of Iran. Methods: A prospective study was conducted in all university hospitals in the Hamadan district of Iran and patients admitted for attempted suicides were included. All cases were assessed by psychiatrists and visited by two trained interns of Medicine. Results: The incidence rate per 100,000 persons of attempted suicides was 228.6 for males and 263.1 for females; moreover, 344.9 for rural areas and 222.7 for urban areas. The suicide attempt was the highest in the 15 to 24 age category for both sexes and regions. Conclusions: Suicide is a complex, long-term outcome that requires multifaceted theoretical constructs for the appropriate study of its antecedents. Findings of this study along with other studies in Iran revealed that unemployed men, housewives, and rural women, high-school students, and those with a low level of education were at higher risk of suicidal behaviors.

Suicide Attempts in Ilam Province, Western Iran, 2010-2014: A Time Trend Study

Journal of research in health sciences, 2016

Suicide has become an increasingly widespread form of morbidity in the developing countries. There has been an increasing trend in morbidity and mortality due to suicide in Iran over the past few decades. This study surveyed attempts and completed suicide over a 5-year period. Through a cross-sectional study, overall identified suicides by systematic registration suicide data (SRSD) in Ilam Province, western Iran from 21 March 2010 to 11 December 2014 were enrolled. Multiple logistic regression analysis was used for measuring the association between the risk factors of interest and suicide. The statistical software package was Stata 11.2. A Suicide attempts have slightly increased in Ilam during 2010-2014, during which, 6,818 attempted suicides occurred of which 546 were completed. The odds of completed suicide was higher among older age groups than younger ones so that the crude OR estimates of completed suicide among people aged 50 to 59 yr against people aged <20 yr was (OR=6....