The epidemiology of suicide in the elderly population in Southern Iran, 2011–2016

Mokhtari, Ali Mohammad; Sahraian, Sadaf; Hassanipour, Soheil; Baseri, Ali; Mirahmadizadeh, Alireza

doi:10.1016/j.ajp.2019.07.027

Cited by 23 publications

(18 citation statements)

References 30 publications

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“…For females, the highest suicide rate was 2.16 per 100,000 in 2018. Our findings were congruent with other studies done in various provinces of Iran [15][16][17]. A systematic review and meta-analysis study in Iran revealed that western regions have shown the highest suicide rate 12.9 per 100,000 [18].…”

Section: Discussionsupporting

confidence: 93%

Socio-demographic status and 12 years trend of completed suicide in East Azerbaijan Province, Iran, during the period 2007–2018

Farahbakhsh

Asgari

Aslrahimi

et al. 2021

Middle East Curr Psychiatry

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Background The incidence rate of suicide has been increased in Iran over the past decades especially in East Azerbaijan Province which there are limited studies on suicide. We aimed to investigate the 12-year trend of suicide and demographic characteristics in East Azerbaijan Province during the period 2007–2018. We obtained the data on the suicide mortality and socio-demographic status from the Death Registry Information System (DRIS) and compared with legal medicine suicide statistics during the study period. Results A total of 2422 and 1783 suicide cases were reported by legal medicine and DRIS (average incidence rate 5.94 vs 4.4 per 100,000) in the 12-year period from 2007 to 2018, respectively. The suicide rate in males was more than two times that of females. The mean and median age of suicide was 34.07 and 31 years, respectively. The most common suicide method was hanging (51.9%). The incidence rate of suicide cases was decreasing between 2007 and 2014, however from 2015 to 2018 has been increased. Conclusions The incidence rate of suicide in this province has been increasing with a smooth slope. Community-based programs and measures should be taken to stop the growth rate of suicide.

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Section: Discussionsupporting

confidence: 93%

Socio-demographic status and 12 years trend of completed suicide in East Azerbaijan Province, Iran, during the period 2007–2018

Farahbakhsh

Asgari

Aslrahimi

et al. 2021

Middle East Curr Psychiatry

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“…Various studies reported a direct relationship between the marital status of females and suicide attempts (20,36). According to the results, people with a diploma and school students had the highest rate of suicide attempts, respectively, which is consistent with other studies (2,22,37). This finding can be attributed to the higher frequency of high school diploma in Iranian society.…”

supporting

confidence: 85%

“…Although suicide may cause by a complexity of factors, the most obvious reason is the complicacy of problems. Hence, some may find suicide as the best solution to get rid of problems (2). In this regard, the concept of "suicide attempt" arises, a nonfatal self-directed potentially injurious behavior with any intent to die but for the purpose of expressing feelings (3).…”

Section: Introductionmentioning

confidence: 99%

Suicide and Attempted Suicide Epidemiology in Sirjan in 2018

Balvardi

Imani-Goghary

Babaee

et al. 2021

Int J High Risk Behav Addict

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Background: Prevalence of suicide and attempted suicide has increased due to social, economic, and cultural factors. Objectives: This study aimed to investigate the suicide and attempted suicide epidemiology in Sirjan, Iran, in 2018. Methods: Following a cross-sectional design, suicide attempts and their related factors were investigated in the city of Sirjan in 2018. Data were collected by a researcher-developed checklist and were analyzed using descriptive and analytical statistics (i.e., chi-square or Fisher’s exact tests) by SPSS. Results: A total of 768 people referred to Sirjan’s hospitals with a diagnosis of suicide attempt were investigated. One-year suicide attempts incidence for males and females was 120.6 (N = 391) and 116.3 (N = 377) per 100,000 people, respectively. The mean age of males and females was 26.0 ± 9.2 and 24.2 ± 8.1, respectively. Most cases were aged 20 - 29 and 10 - 19 years. The male-to-female ratio was higher in the 20 - 29 age group, but more females, most suicide cases were aged 10 - 19, and this difference was significant. Most of them were single, urbanite, educated up to high school diploma, or were school-goers. Self-poisoning (i.e. drug intoxication) was the most common method of suicide attempts. Suicides that led to death were 3.7 per 100000 people, higher rates were observed in men, younger age, single status, urbanite, and those with school diplomas. Hanging was the most common suicide method. Conclusions: Sirjan is one of the areas with high rates of suicide attempts; therefore, the findings of the present study can be regarded as a step forward in future studies to consider interventions intended to improve mental health, as well as to find useful solutions to prevent suicide occurrence.

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“…These were classified as substance abuse disorders (ICD-10 codes F10-F19), schizophrenia (ICD-10 codes F20-F29), mood disorders (ICD-10 codes F30-F39), anxiety and somatoform disorders (ICD-10 codes F40-F48) and other mental disorders (ICD-10 codes F49-F99). We also created 3 categories based on the onset of the other mental disorder(s): patients with dementia but without other mental disorders; patients diagnosed with other mental disorders before they were diagnosed with dementia (from Jan. 1,2002); and patients who were diagnosed with other mental disorders after they were diagnosed with dementia. We did not use other mental disorders as a time covariate variable in this study because the absence of a diagnosis record for the year after a diagnosis of another mental disorder did not imply that patients were completely treated for their mental disorder.…”

Section: Measurementsmentioning

confidence: 99%

“…Suicide is one of the most important public health issues affecting older adults. 1,2 Although in most countries suicide attempts are more frequent among young people, the mortality rate of suicide is higher among older adults. 3,4 In 2016, South Korea was ranked tenth globally according to suicide rate (20.2 per 100 000 people); the rate among older adults (age ≥ 60 years) in the same year was 53.3 per 100 000 population, the highest of all countries in the Organisation for Economic Co-operation and Development.…”

Section: Introductionmentioning

confidence: 99%

Suicide risk within 1 year of dementia diagnosis in older adults: a nationwide retrospective cohort study

Choi

Lee

Han

2021

jpn

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Background: Although severe dementia could protect against suicide death by decreasing a person’s capacity to implement a suicide plan, patients with early dementia may have better cognition, giving them more sustained insight into their disease and better enabling them to carry out a suicide plan. This study investigated suicide risk in older adults within 1 year of receiving a diagnosis of dementia. Methods: This study used National Health Insurance Service Senior Cohort data and included 36 541 older adults with newly diagnosed dementia (a Mini-Mental State Examination score ≤ 26 and a Clinical Dementia Rating score ≥ 1 or a Global Deterioration Scale score ≥ 3), including Alzheimer disease, vascular dementia and other/unspecified dementia, from 2004 to 2012. We selected older adults without dementia through 1:1 propensity-score matching using sex, age, comorbidities and index year, with follow-up throughout 2013. We estimated adjusted hazard ratios (AHRs) of suicide deaths within 1 year after diagnosis using a time-dependent Cox proportional hazards model. Results: We verified 46 suicide deaths during the first year after a dementia diagnosis. Older adults with dementia had an increased risk of suicide death compared to those without dementia (AHR 2.57; 95% confidence interval [CI] 1.49–4.44). Older adults with Alzheimer disease (AHR 2.50; 95% CI 1.41–4.44) or other/unspecified dementia (AHR 4.32; 95% CI 2.04–9.15) had an increased risk of suicide death compared to those without dementia. Patients with dementia but without other mental disorders (AHR 1.96; 95% CI 1.02–3.77) and patients with dementia and other mental disorders (AHR 3.22; 95% CI 1.78–5.83) had an increased risk of suicide death compared to patients without dementia. Patients with dementia and schizophrenia (AHR 8.73; 95% CI 2.57–29.71), mood disorders (AHR 2.84; 95% CI 1.23–6.53) or anxiety or somatoform disorders (AHR 3.53; 95% CI 1.73–7.21), respectively, had an increased risk of suicide death compared to patients with those conditions but without dementia. Limitations: This study examined only elderly patients in South Korea, a population with a substantially higher suicide rate than the global population. Caution must be exercised when generalizing the results to populations with dissimilar backgrounds. Conclusion: Patients with dementia had an increased risk of suicide death within 1 year after diagnosis compared to those without dementia.

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The epidemiology of suicide in the elderly population in Southern Iran, 2011–2016

Cited by 23 publications

References 30 publications

Socio-demographic status and 12 years trend of completed suicide in East Azerbaijan Province, Iran, during the period 2007–2018

Socio-demographic status and 12 years trend of completed suicide in East Azerbaijan Province, Iran, during the period 2007–2018

Suicide and Attempted Suicide Epidemiology in Sirjan in 2018

Suicide risk within 1 year of dementia diagnosis in older adults: a nationwide retrospective cohort study

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