伊朗法尔斯省一年内再次自杀未遂。

IF 1.3 4区 医学 Q4 PSYCHIATRY
Sulmaz Ghahramani, Marziyeh Farid, Mehrdad Sharifi, Kamran Bagheri Lankarani
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引用次数: 0

摘要

目的在有自杀企图的个人中,再自杀的现象很常见,这反映了持续的脆弱性,但来自伊朗的数据有限。本研究调查了2023年在法尔斯省幸存的所有自杀未遂者的再次尝试,为预防策略提供信息。方法本前瞻性研究采用综合自杀数据监测与登记系统,对2023年法尔斯地区所有登记的自杀企图和死亡进行分析。在352天内对案件进行了确定和审查,以确定再犯。变量包括人口统计数据、企图史和场合相关因素。统计分析包括描述性统计、卡方检验、t检验和逻辑回归,使用SPSS检验预测自杀再企图的因素,显著性设置为P < 0.05。获得了相关委员会的伦理批准。结果9472名自杀未遂者中,有577人(6.1%)再次自杀未遂。再企图者的性别分布相似。单身人士的再尝试率更高。虽然再次尝试者的死亡率低于首次尝试者,但差异无统计学意义。两次尝试之间的平均间隔为5.2周,75%发生在15周内。Logistic回归显示,单身显著增加了再尝试的几率(OR = 1.57, 95% CI: 1.17-2.11, P = 0.003),而其他因素如年龄、性别、星期几等无显著性影响。结论单身人士更容易发生自杀再企图,需要有针对性和及时的干预。在高风险的尝试后时期保持警惕是至关重要的。未来的研究应该使用纵向和定性的方法来探索预测自杀再企图的个人、社会和系统因素的复杂相互作用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Reattempted Suicide Within One Year in Fars Province, Iran.

ObjectiveSuicide reattempts, reflecting ongoing vulnerability, are common among individuals with prior attempts, yet data from Iran is limited. This study explored reattempts among all suicide attempters who survived in the Fars province during the year 2023 to inform prevention strategies.MethodsThis prospective study analyzed all registered suicide attempts and death in the Fars during 2023, using a comprehensive database, the Integrated Suicide Data Monitoring and Registration System. Cases were determined and reviewed over 352 days to identify reattempts. Variables included demographic data, attempt history, and occasion-related factors. Statistical analyses involved descriptive statistics, chi-square, t-tests, and logistic regression to examine factors predicting suicide reattempts using SPSS, with significance set at P < .05. Ethical approval was secured from the relevant committee.ResultsAmong all cases, 577 individuals (6.1%) reattempted suicide out of a total of 9472 attempters (failed or succeeded). Gender distribution among re-attempters was similar. Single individuals had higher reattempt rates. Although re-attempters had a lower fatality rate than first-time attempters, the difference was not statistically significant. The average interval between attempts was 5.2 weeks, and 75% occurred within 15 weeks. Logistic regression revealed that being single significantly increased reattempt odds (OR = 1.57, 95% CI: 1.17-2.11, P = .003), while other factors such as age, gender, and day of the week were not significant.ConclusionOur findings indicated that single individuals were more vulnerable to suicide reattempts, underscoring the need for targeted and timely interventions. Being alert in the high-risk post-attempt period is crucial. Future studies should use longitudinal and qualitative methods to explore the complex interplay of personal, social, and systemic factors predicting suicide reattempt.

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来源期刊
CiteScore
3.00
自引率
5.00%
发文量
55
审稿时长
6-12 weeks
期刊介绍: The International Journal of Psychiatry in Medicine (IJPM) bridges the gap between clinical psychiatry research and primary care clinical research. Providing a forum for addressing: The relevance of psychobiological, psychological, social, familial, religious, and cultural factors in the development and treatment of illness; the relationship of biomarkers to psychiatric symptoms and syndromes in primary care...
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