[SUICIDE MORTALITY IN THE REGIONS OF THE NORTH WESTERN FEDERAL DISTRICT IN THE POST PANDEMIC PERIOD].

Q4 Medicine
V A Rozanov, N V Semenova, A J Vuks, M V Anokhina, V D Isakov, N G Neznanov
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引用次数: 0

Abstract

Suicide mortality monitoring provides important information that may be interpreted within social determinants of public health. Suicide mortality during the pandemic, contrary to many fears, did not increase, but the situation in the post pandemic period, when new challenges emerged, has not been studied yet. Surveillance in the Northwestern Federal District over the past 7 years has revealed a sharp decline in mortality in 2023 in some subjects, particularly in St. Petersburg (SPb) and Leningrad Oblast (LO). We calculated average annual mortality rates per 100,000 population with confidence intervals (as per Wilson). For detailed analysis we used the division of society into generations - up to 19 years old (generation Z), 20-39 years old (millennials, Y), 40-59 years old (generation X) and gt; 60 years old ("baby boomers" and traditionalists). Suicide indices in LO are significantly higher than in SPb, which is probably due to the higher proportion of rural population. The sharp decrease in mortality in 2023 in both subjects appeared to be most pronounced and statistically significant among men aged 40-59 and over 60. While the mortality rate among women in the older groups is generally decreasing, it is either stable or tends to increase among women under 39 years of age. From the perspective of the role of social integration, according to Durkheim theory, the sharp decline in male suicides can be attributed to increased social cohesion, signs of social optimism, as well as military and economic mobilization during the special military operation. At the same time, when large contingents return from the conflict zone, prevention measures should be considered, taking into account possible jobs competition between young and older male groups, as well as the likelihood of an increase in the prevalence of post traumatic stress disorder.

[大流行后时期西北联邦区各地区的自杀死亡率]。
自杀死亡率监测提供了可以在公共卫生的社会决定因素范围内解释的重要信息。与许多人的担忧相反,大流行病期间的自杀死亡率并没有增加,但在出现新挑战的大流行病后时期的情况尚未得到研究。过去7年在西北联邦区进行的监测显示,2023年某些研究对象的死亡率急剧下降,特别是在圣彼得堡和列宁格勒州。我们用置信区间计算了每10万人的年平均死亡率(根据Wilson)。为了进行详细分析,我们将社会划分为几代人——19岁以下(Z一代),20-39岁(千禧一代,Y), 40-59岁(X一代)和gt;60岁(“婴儿潮一代”和传统主义者)。LO的自杀指数明显高于SPb,这可能是由于农村人口比例较高。在40-59岁和60岁以上的男性中,这两种研究对象的死亡率在2023年的急剧下降似乎最为明显,在统计上也具有显著意义。虽然老年妇女的死亡率普遍下降,但39岁以下妇女的死亡率要么稳定,要么有上升的趋势。从社会整合的作用来看,根据涂尔干理论,男性自杀率的急剧下降可以归因于社会凝聚力的增强,社会乐观主义的迹象,以及特殊军事行动期间的军事和经济动员。同时,当大批特遣队从冲突地区返回时,应考虑预防措施,同时考虑到年轻和年长男性群体之间可能出现的工作竞争,以及创伤后应激障碍流行率增加的可能性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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CiteScore
0.40
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0.00%
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234
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