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

IF 2.5 2区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Kiavash Hushmandi, Parviz Shahmirzalou, Yousef Ramazani, Rasoul Raesi, Mahdieh Ardaneh, Hedyeh Askarpour, Salman Daneshi
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引用次数: 0

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.

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伊朗自杀的流行病学趋势和决定因素:对1980-2021年2019冠状病毒病期间的洞察
导言:自杀是一个重大的全球健康问题,2019年全球有759028人死于自杀。在伊朗,受社会、经济和心理因素的影响,自杀率从1980年到2020年波动很大。青少年和年轻人尤其面临着与经济问题和精神健康失调有关的高自杀率。本研究旨在确定伊朗自杀变化的趋势及其影响因素。方法:采用混合方法,从卫生部和非政府组织等信誉良好的来源收集数据。分析方法包括统计软件(SPSS和R),使用ARIMA建模和Joinpoint回归来评估趋势,以及增强Dickey-Fuller检验来确保数据的平稳性。结果:分析显示,从1980年到2021年,伊朗的自杀率有所下降,尽管女性的自杀率普遍高于男性。自杀率最高的是20-24岁年龄组。时间序列模型预测,受经济危机和COVID-19大流行等因素的影响,未来五年自杀率将上升。结论:这项研究表明,尽管自杀率总体上有所下降,但某些群体的自杀风险仍然很高。预计自杀率会上升,这突出表明需要采取紧急干预措施,解决经济和心理问题,并减少与心理健康有关的社会耻辱。详细的数据分析对于制定有效的预防战略以降低伊朗的自杀率至关重要。
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来源期刊
Population Health Metrics
Population Health Metrics PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
6.50
自引率
0.00%
发文量
21
审稿时长
29 weeks
期刊介绍: Population Health Metrics aims to advance the science of population health assessment, and welcomes papers relating to concepts, methods, ethics, applications, and summary measures of population health. The journal provides a unique platform for population health researchers to share their findings with the global community. We seek research that addresses the communication of population health measures and policy implications to stakeholders; this includes papers related to burden estimation and risk assessment, and research addressing population health across the full range of development. Population Health Metrics covers a broad range of topics encompassing health state measurement and valuation, summary measures of population health, descriptive epidemiology at the population level, burden of disease and injury analysis, disease and risk factor modeling for populations, and comparative assessment of risks to health at the population level. The journal is also interested in how to use and communicate indicators of population health to reduce disease burden, and the approaches for translating from indicators of population health to health-advancing actions. As a cross-cutting topic of importance, we are particularly interested in inequalities in population health and their measurement.
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