Epidemiological study of suicide by physical methods between 1993 and 2013 in Ilam province, Iran

BMC Psychiatry

Research Article

Khairollah Asadollahi¹  Yosra Azizpour²  Satar Kaikhavani³  Kourosh Sayehmiri⁴  Maryam Bagheri⁴ 

[1] Clinical Epidemiology, Department of Social Medicine, Faculty of Medicine, Ilam University of Medical Sciences, Ilam, Iran;Department of Clinical Epidemiology, Faculty of Health, Ilam University of Medical Sciences, Ilam, Iran;Department of Clinical Psychology, Faculty of Medicine, Ilam University of Medical Sciences, Ilam, Iran;Psychosocial Injuries Research Center, Ilam University of Medical Sciences, Ilam, Iran;

关键词: Epidemiology;    Invasive;    Physical method;    Suicide;    Ilam;    Iran;   

DOI  :  10.1186/s12888-017-1461-5

 received in 2016-12-26, accepted in 2017-08-11,  发布年份 2017

来源: Springer

【 摘 要 】

BackgroundSuicide by aggressive physical methods such as firearms, hanging, and jumping is well known; however, different factors may influence a person while selecting a particular method. The aim of this study was to investigate the epidemiological factors involved in the selection and use of different physical methods for suicide over a long-term period in Ilam province, Iran.MethodsThe present study was conducted retrospectively between 1993 and 2013 using recorded data from a comprehensive system for registration of suicide attempts in Ilam University of Medical Sciences. The epidemiological characteristics included person, time and place variables, and the outcomes of the suicide attempts. The chi square, univariate and multivariate logistic regression models were used for data analysis.ResultsTotally, 1516 suicide attempts were evaluated (the annual incidence rate: 19/100,000 individuals). The most commonly used suicide method in females (88.4%) and males (38.9%) was self-immolation. Furthermore, the annual incidence rate among males and females was within the age group of 15–24 years (24.6 and 47.8/100,000 individuals). The risk of death by suicide in the age group of 55–64 years was 2.93 compared with the age group of 10–14 years (OR = 2.93; 95% CI = 0.64–13.54, P = 0.168).ConclusionThis study revealed that self-immolation was the most selected physical method of suicide and had the highest incidence rate, and inflicted the survivors with severe physical and mental complications. In order to reduce the use of physical methods, especially self-immolation, life skills training becomes more important than ever.

【 授权许可】

CC BY   
© The Author(s). 2017