Epidemiology of suicide and attempted suicide derived from the health system database in the Islamic Republic of Iran: 2001–2007

Abstract

Suicide is an important public health problem worldwide. A retrospective study from March 2001 to March 2007 examined some characteristics of cases of suicide and attempted suicide in the Islamic Republic of Iran based on the health system database of 41 medical universities. A total of 53 100 cases of suicide and attempted suicide were analysed. Just over half were among women (55.0%). The most usual method of attempted suicide among both males and females was drug overdose. Self-burning was more frequent in females (5.8%) while hanging (4.5%), cutting (2.8%) and firearms (0.5%) were more common in males. There were 3883 (7.3%) completed (fatal) suicides. Hanging had the highest case fatality rate (76.5%) and drug overdose the lowest (2.3%). Older people had a higher mortality rate. Suicide and attempted suicides increased from 8.3 per 100 000 population in 2001 to 19.4 Au total, 53 100 cas de suicides et de tentatives de suicide ont été analysés. À peine plus de la moitié concernait des femmes (55,0 %). La méthode la plus fréquemment utilisée des tentatives de suicide chez les hommes comme chez les femmes était une surdose médicamenteuse. L'immolation par le feu était plus fréquente chez les femmes (5,8 %) alors que les recours à la pendaison (4,5 %), au sectionnement (2,8 %) et aux armes à feu (0,5 %) étaient plus nombreux chez les hommes. Dans l'étude, 3883 tentatives de suicide ont été mortelles (7,3 %). La pendaison était associée au taux le plus élevé de décès (76,5 %) et la surdose médicamenteuse, au taux le plus faible (2,3 %

Emergency Room Visits for Suicide Attempts: Rates, Trends and Sociodemographic Characteristics of Suicide Attempts in Northeastern Anatolia

“…Most marriages in northeastern Turkey are arranged by parents, and women generally have little or no say in the selection of their partners. On the other hand, the greater presence of married women in our research means that they may have had difficulties with their husbands, as Khan et al has described well 4 . Domestic violence against women is a serious public health concern because of its negative and harmful impact on the mental, physical, and social health of women.…”

“…In male subjects of the same age group, these rates were lower, ranging between 66 and 372 per 100,000 3 . In Iran, published attempted suicide rates per 100,000 population varied between 19.4 in 2005 and 16.3 in 2007 4 . In our country, suicide ranks tenth among the leading causes of death 5 .…”

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

“…The frequency of suicide behavior methods as well as the fatality of each method and differences based on age, gender, relationship status and other demographic characteristics show differences not only between geographic and ethnic groups but also during different time periods (5). Therefore, the study of the characteristics of suicidal behaviors during consecutive time periods and comparing the determinants of suicide in different regions even in one country is necessary for understanding the underlying factors related to suicidal behaviors and also for planning evidence-based suicide prevention and control initiatives.…”

Silent Change of Suicide in the West of Iran (Kermanshah): Joinpoint Regression Analysis

“…In women, ASR of suicide fluctuated dramatically as it goes beyond the rate of men in age groups [20][21][22][23][24][25][26][27][28][29] In age group 10 -19-years, suicide rate for women was always higher than men during the whole period of observation. The highest rising rate was seen in age group > 70 years by 58.2% increase in average (95% CI: +31.7 -+89.9) (Figure 2).…”

“…In the absence of reliable researches on suicide trend in the west of Iran, limited evidence about its changes in recent decades and upcoming situation is available. Although few studies dealt with the temporal trend of suicide in Iran, the majority didn't use accurate statistical analysis (25)(26)(27)(28), some study seasonal pattern (29), and in a recent one which temporal trend in provinces level across the country trends assessed by developed method, the time span of study was so short that validity of the analysis is uncertain (10). In the present study, for the first time we analyzed the temporal trend of suicide in the most dangerous region of Iran for a time span more than a decade (12 years) using an advanced statistical method (joinpoint regression analysis) in order to present the latest evidence on suicide mortality changes in this region.…”