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IF 1 4区医学 Q3 MEDICINE, GENERAL & INTERNAL

Archives of Iranian Medicine Pub Date : 2025-01-01 DOI:10.34172/aim.31276

Parsa Rouzrokh, Fatemeh Abbasi Feijani, Yeganeh Moshiri, Sulmaz Ghahramani, Kamran Bagheri Lankarani

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引用次数: 0

摘要

背景：自杀是一个严重的全球公共卫生问题，区分自杀和自杀未遂强调了有针对性干预的必要性。这项调查旨在确定伊朗导致自杀的各种因素的总体流行率，包括社会经济、人口和地理因素：我们对截至 2023 年 7 月的 Web of Science、Scopus、PubMed、SID、Magiran、Elmnet、ISC、Irandoc 和 Noormags 数据库进行了系统检索。我们纳入了对伊朗地区导致自杀的因素的流行情况进行调查的、质量合格的主要观察性研究。我们对研究结果进行了资格和质量筛选，随后对所选文章进行了审查，并从中提取和分析了数据：结果：在 1646 篇初始文章中，有 68 篇被选中进行综述，54 篇被选中进行荟萃分析。计算出的诱发因素患病率如下：男性（64.3%，95% CI：62.6-66.0%）、25 岁以上（57.9%，95% CI：51.0-64.5%）、文凭以下学历（73.4%，95% CI：62.1-82.3%）、就业问题（66.4%，95% CI：59.7-72.5%）、城市生活（61.7%，95% CI：53.8-69.1%）、既往病史（8.5%，95% CI：4.9-14.2%）、既往精神病史（20.7%，95% CI：15.5-27.1%）、既往自杀未遂（12.2%，95% CI：8.5-17.0%）、药物滥用史（28.4%，95% CI：20.1-38.3%）、春季（29.8%，95% CI：26.7-33%）和上吊方式（46.1%，95% CI：41.6-50.6%）。西部地区和非西部地区在性别、年龄和自杀方式的发生率上存在明显的地区差异：本研究描述了伊朗自杀的关键因素。尽管 25 岁以上人群的自杀率较高，但仍有许多年轻人受到影响。城市生活和教育程度低是重要因素。此外，还观察到西部和非西部地区在性别、年龄和自杀方式上存在明显的地区差异。这些研究结果突出表明，有必要就记录保存方面的挑战开展更多研究，并可指导伊朗卫生决策者制定筛查和治疗易感人群的策略。

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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The Pooled Prevalence of Attributed Factors of Suicide in Iran: A Systematic Review and Meta-analysis.

Background: Suicide poses a critical global public health concern, and distinguishing between suicides and suicide attempts underscores the need for targeted interventions. This investigation aimed to determine the pooled prevalence of factors contributing to suicide in Iran, including socio-economic, demographic, and geographical factors.

Methods: A systematic search was conducted across Web of Science, Scopus, PubMed, SID, Magiran, Elmnet, ISC, Irandoc, and Noormags databases up to July 2023. We included primary observational studies of acceptable quality that examined the prevalence of factors contributing to suicide in Iranian regions. The findings were screened for eligibility and quality, followed by a review of selected articles, from which data were extracted and analyzed.

Results: Out of 1646 initial articles, 68 were selected for review and 54 for meta-analysis. The pooled prevalence rates of contributing factors were calculated as follows: male gender (64.3, 95% CI: 62.6‒66.0%), age over 25 (57.9%, 95% CI: 51.0‒64.5%), under diploma education (73.4%, 95% CI: 62.1‒82.3%), employment issues (66.4%, 95% CI: 59.7‒72.5%), urban living (61.7%, 95% CI: 53.8‒69.1%), past medical history (8.5%, 95% CI: 4.9‒14.2%), past psychiatric history (20.7%, 95% CI: 15.5‒27.1%), past suicidal attempt (12.2%, 95% CI: 8.5‒17.0%), substance abuse history (28.4%, 95% CI: 20.1‒38.3%), spring season (29.8%, 95% CI: 26.7‒33%), and hanging method (46.1%, 95% CI: 41.6‒50.6%). Significant regional differences were observed in the prevalence of gender, age, and suicide methods between western and non-western areas.

Conclusion: This study describes key factors of suicides in Iran. Despite higher rates among those over 25, many young individuals are affected. Urban living and low educational attainment are significant factors. Moreover, notable regional differences were observed in gender, age, and suicide methods between western and non-western areas. These findings highlight the need for additional research related to record-keeping challenges and can guide Iranian health policymakers in developing strategies for screening and treating vulnerable individuals.

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来源期刊

Archives of Iranian Medicine 医学-医学：内科

CiteScore

4.20

自引率

0.00%

发文量

审稿时长

3-8 weeks

期刊介绍： Aim and Scope: The Archives of Iranian Medicine (AIM) is a monthly peer-reviewed multidisciplinary medical publication. The journal welcomes contributions particularly relevant to the Middle-East region and publishes biomedical experiences and clinical investigations on prevalent diseases in the region as well as analyses of factors that may modulate the incidence, course, and management of diseases and pertinent medical problems. Manuscripts with didactic orientation and subjects exclusively of local interest will not be considered for publication.The 2016 Impact Factor of "Archives of Iranian Medicine" is 1.20.