Journal of Rafsanjan University of Medical Sciences
مجله دانشگاه علوم پزشکی رفسنجان
JRUMS
Medical Sciences
http://journal.rums.ac.ir
69
journal69
1735-3165
2008-7268
10.66224/jrums
fa
jalali
1403
7
1
gregorian
2024
10
1
23
6
online
1
fulltext
other
آشنایی با مدل تعیین کنندههای اجتماعی و عوامل خطر فردی برای خودکشی و خودآزاری
Getting to Know the Social Determinants and Individual Risk Factors Model for Suicide and Self-Harm
مديريت و اطلاع رساني پزشكي
مديريت و اطلاع رساني پزشكي
پژوهشي
Research
<span style="font-size:10pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Arial,sans-serif"><b><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Zar""><span style="color:black">سخن سردبیر</span></span></span></b></span></span></span></span><br>
<span style="font-size:10pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Arial,sans-serif"><b><span dir="LTR" style="font-family:"Times New Roman",serif"><span style="color:black">Editorial</span></span></b></span></span></span></span><br>
<span style="font-size:10pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Arial,sans-serif"><b><span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""><span style="color:black">مجله دانشگاه علوم پزشکی رفسنجان</span></span></span></b></span></span></span></span><br>
<span style="font-size:10pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Arial,sans-serif"><b><span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""><span style="color:black">دوره 23، </span></span></span></b><b><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""><span style="color:black">شهریور </span></span></span></b><b><span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""><span style="color:black">1403، </span></span></span></b><b><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""><span style="color:black">481-478</span></span></span></b></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Arial,sans-serif"><b><span lang="FA" style="font-size:3.0pt"><span style="line-height:150%"><span style="font-family:"B Zar""><span style="color:black"></span></span></span></span></b></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Arial,sans-serif"><b><span lang="FA" style="font-size:3.0pt"><span style="line-height:150%"><span style="font-family:"B Zar""><span style="color:black"></span></span></span></span></b></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Arial,sans-serif"><b><span lang="FA" style="font-size:3.0pt"><span style="line-height:150%"><span style="font-family:"B Zar""><span style="color:black"></span></span></span></span></b></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Arial,sans-serif"><b><span lang="FA" style="font-size:3.0pt"><span style="line-height:150%"><span style="font-family:"B Zar""><span style="color:black"></span></span></span></span></b></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Arial,sans-serif"><b><span lang="FA" style="font-size:14.0pt"><span style="font-family:"B Zar""><span style="color:black">آشنایی با مدل تعیین کنندههای اجتماعی و عوامل خطر فردی برای خودکشی و خودآزاری </span></span></span></b></span></span></span></span><br>
<span style="font-size:10pt"><span style="unicode-bidi:embed"><span style="font-family:Arial,sans-serif"><b><span dir="RTL" lang="FA" style="font-size:3.0pt"><span style="font-family:"Times New Roman",serif"><span style="color:black"></span></span></span></b></span></span></span><br>
<span style="font-size:10pt"><span style="unicode-bidi:embed"><span style="font-family:Arial,sans-serif"><b><span style="font-size:13.0pt"><span style="font-family:"Times New Roman",serif"><span style="color:black"></span></span></span></b></span></span></span><br>
<span style="font-size:10pt"><span style="unicode-bidi:embed"><span style="font-family:Arial,sans-serif"><b><span style="font-size:13.0pt"><span style="font-family:"Times New Roman",serif"><span style="color:black">Getting to Know the Social Determinants and Individual Risk Factors Model for Suicide and Self-Harm </span></span></span></b><b><span dir="RTL" lang="AR-SA" style="font-size:13.0pt"><span style="font-family:"Times New Roman",serif"><span style="color:black"></span></span></span></b></span></span></span><br>
<span style="font-size:10pt"><span style="unicode-bidi:embed"><span style="font-family:Arial,sans-serif"><b><span style="font-size:8.0pt"><span style="font-family:"Times New Roman",serif"><span style="color:black"></span></span></span></b></span></span></span><br>
<span style="font-size:10pt"><span style="unicode-bidi:embed"><span style="font-family:Arial,sans-serif"><b><span style="font-size:8.0pt"><span style="font-family:"Times New Roman",serif"><span style="color:black"></span></span></span></b></span></span></span><br>
<span style="font-size:10pt"><span style="unicode-bidi:embed"><span style="font-family:Arial,sans-serif"><b><span dir="RTL" lang="FA" style="font-size:8.0pt"><span style="font-family:"Times New Roman",serif"><span style="color:black"></span></span></span></b></span></span></span><br>
<span style="font-size:10pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Arial,sans-serif"><b><span lang="FA" style="font-size:13.0pt"><span style="font-family:"B Zar""><span style="color:black">محسن رضائیان<a href="#_ftn1" name="_ftnref1" title=""><sup><b><sup><span style="font-size:11.0pt"><span style="font-family:"Times New Roman",serif"><span style="color:black">[1]</span></span></span></sup></b></sup></a></span></span></span></b></span></span></span></span><br>
<span style="font-size:10pt"><span style="unicode-bidi:embed"><span style="font-family:Arial,sans-serif"><b><span style="font-size:4.0pt"><span style="font-family:"Times New Roman",serif"><span style="color:black"></span></span></span></b></span></span></span><br>
<span style="font-size:10pt"><span style="unicode-bidi:embed"><span style="font-family:Arial,sans-serif"><b><span style="font-size:11.0pt"><span style="font-family:"Times New Roman",serif"><span style="color:black">Mohsen Rezaeian</span></span></span></b></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:135%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Arial,sans-serif"><span lang="FA" style="font-size:3.0pt"><span style="line-height:135%"><span style="font-family:"B Nazanin""><span style="color:black"></span></span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:135%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Arial,sans-serif"><span lang="FA" style="font-size:11.5pt"><span style="line-height:135%"><span style="font-family:"B Nazanin""><span style="color:black"></span></span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:137%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Arial,sans-serif"><span lang="FA" style="font-size:11.5pt"><span style="line-height:137%"><span style="font-family:"B Nazanin""><span style="color:black">خودکشی و خودآزاری از مشکلات پیچیده بهداشت و سلامت عمومی در هر جامعه هستند. شناخت دقیق این دو مسئله به هم پیوسته و عوامل خطر فردی و تعیین کنندههای اجتماعی آنها، میتواند نقش بسزایی در پیشگیری و کنترل این دو پدیده، ایفاء نماید. در سخنان سردبیری قبلی، نگاهی به این دو مشکل بهداشت عمومی و برنامههای ملی برای پیشگیری از آنها، داشتهایم </span></span></span></span><span dir="LTR" style="font-size:9.5pt"><span style="line-height:137%"><span style="font-family:"Times New Roman",serif"><span style="color:black">)</span></span></span></span><span lang="FA" style="font-size:11.5pt"><span style="line-height:137%"><span style="font-family:"B Nazanin""><span style="color:black">9-1</span></span></span></span><span dir="LTR" style="font-size:9.5pt"><span style="line-height:137%"><span style="font-family:"Times New Roman",serif"><span style="color:black">(</span></span></span></span><span lang="FA" style="font-size:11.5pt"><span style="line-height:137%"><span style="font-family:"B Nazanin""><span style="color:black">. هدف از نگارش این سخن سردبیری، آشنا ساختن خوانندگان فرهیخته مجله دانشگاه با مدل تعیین کنندههای اجتماعی و عوامل خطر فردی برای خودکشی و خودآزاری، همراه با نقد کوتاهی بر آن، میباشد. </span></span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:137%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Arial,sans-serif"><span lang="FA" style="font-size:11.5pt"><span style="line-height:137%"><span style="font-family:"B Nazanin""><span style="color:black">پیرکیز (</span></span></span></span><span dir="LTR" style="font-size:9.5pt"><span style="line-height:137%"><span style="font-family:"Times New Roman",serif"><span style="color:black">Pirkis</span></span></span></span><span lang="FA" style="font-size:11.5pt"><span style="line-height:137%"><span style="font-family:"B Nazanin""><span style="color:black">) و همکاران در مقاله خود </span></span></span></span><span dir="LTR" style="font-size:9.5pt"><span style="line-height:137%"><span style="font-family:"Times New Roman",serif"><span style="color:black">)</span></span></span></span><span lang="FA" style="font-size:11.5pt"><span style="line-height:137%"><span style="font-family:"B Nazanin""><span style="color:black">10</span></span></span></span><span dir="LTR" style="font-size:9.5pt"><span style="line-height:137%"><span style="font-family:"Times New Roman",serif"><span style="color:black">(</span></span></span></span><span lang="FA" style="font-size:11.5pt"><span style="line-height:137%"><span style="font-family:"B Nazanin""><span style="color:black">، تصویری از این مدل را ارائه کردهاند (شکل 1). آنها توضیح میدهند که شکل اولیه این این مدل برای شناخت تعیین کنندههای اجتماعی سلامت، در سال 2010 میلادی توسط </span></span></span></span><span dir="LTR" style="font-size:9.5pt"><span style="line-height:137%"><span style="font-family:"Times New Roman",serif"><span style="color:black">Solar</span></span></span></span><span lang="FA" style="font-size:11.5pt"><span style="line-height:137%"><span style="font-family:"B Nazanin""><span style="color:black"> و </span></span></span></span><span dir="LTR" style="font-size:9.5pt"><span style="line-height:137%"><span style="font-family:"Times New Roman",serif"><span style="color:black">Irwin</span></span></span></span><span lang="FA" style="font-size:11.5pt"><span style="line-height:137%"><span style="font-family:"B Nazanin""><span style="color:black"> و در کمیسیون تعیین کنندههای اجتماعی سلامت سازمان جهانی بهداشت، تهیه و تدوین شده است </span></span></span></span><span dir="LTR" style="font-size:9.5pt"><span style="line-height:137%"><span style="font-family:"Times New Roman",serif"><span style="color:black">)</span></span></span></span><span lang="FA" style="font-size:11.5pt"><span style="line-height:137%"><span style="font-family:"B Nazanin""><span style="color:black">11</span></span></span></span><span dir="LTR" style="font-size:9.5pt"><span style="line-height:137%"><span style="font-family:"Times New Roman",serif"><span style="color:black">(</span></span></span></span><span lang="FA" style="font-size:11.5pt"><span style="line-height:137%"><span style="font-family:"B Nazanin""><span style="color:black">. البته، قبل از آن نیز توسط دانشمندان دیگر، مدلهای بهداشت عمومی دیگری ارائه شده بودند که در آنها، تعیین کنندههای اجتماعی و عوامل خطر فردی خودکشی و خودآزاری، مورد توجه قرار گرفته بودند </span></span></span></span><span dir="LTR" style="font-size:9.5pt"><span style="line-height:137%"><span style="font-family:"Times New Roman",serif"><span style="color:black">)</span></span></span></span><span lang="FA" style="font-size:11.5pt"><span style="line-height:137%"><span style="font-family:"B Nazanin""><span style="color:black">14-12</span></span></span></span><span dir="LTR" style="font-size:9.5pt"><span style="line-height:137%"><span style="font-family:"Times New Roman",serif"><span style="color:black">(</span></span></span></span><span lang="FA" style="font-size:11.5pt"><span style="line-height:137%"><span style="font-family:"B Nazanin""><span style="color:black">. </span></span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:137%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Arial,sans-serif"><span lang="FA" style="font-size:11.5pt"><span style="line-height:137%"><span style="font-family:"B Nazanin""><span style="color:black">همانطور که شکل 1 نشان میدهد، مدل، به ترتیب از سمت راست دارای سه پنل به شرح زیر است: پنل اول در برگیرنده تعیین کنندههای اجتماعی، پنل دوم در برگیرنده عوامل خطر فردی و پنل سوم در برگیرنده پیامدهای دو پنل قبلی، یعنی خودکشی و خودآزاری میباشد. برای آنکه با این مدل بهتر آشنا شویم بهتر است نگاهی دقیقتر به اجزاء پنل اول و دوم داشته باشیم.</span></span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:135%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Arial,sans-serif"><span lang="FA" style="font-size:11.5pt"><span style="line-height:135%"><span style="font-family:"B Nazanin""><span style="color:black"></span></span></span></span></span></span></span></span></span><br>
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<span style="font-size:10pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Arial,sans-serif"><b><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Zar""><span style="color:black">سخن سردبیر</span></span></span></b></span></span></span></span><br>
<span style="font-size:10pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Arial,sans-serif"><b><span dir="LTR" style="font-family:"Times New Roman",serif"><span style="color:black">Editorial</span></span></b></span></span></span></span><br>
<span style="font-size:10pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Arial,sans-serif"><b><span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""><span style="color:black">مجله دانشگاه علوم پزشکی رفسنجان</span></span></span></b></span></span></span></span><br>
<span style="font-size:10pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Arial,sans-serif"><b><span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""><span style="color:black">دوره 23، </span></span></span></b><b><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""><span style="color:black">شهریور </span></span></span></b><b><span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""><span style="color:black">1403، </span></span></span></b><b><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""><span style="color:black">481-478</span></span></span></b></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Arial,sans-serif"><b><span lang="FA" style="font-size:3.0pt"><span style="line-height:150%"><span style="font-family:"B Zar""><span style="color:black"></span></span></span></span></b></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Arial,sans-serif"><b><span lang="FA" style="font-size:3.0pt"><span style="line-height:150%"><span style="font-family:"B Zar""><span style="color:black"></span></span></span></span></b></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Arial,sans-serif"><b><span lang="FA" style="font-size:3.0pt"><span style="line-height:150%"><span style="font-family:"B Zar""><span style="color:black"></span></span></span></span></b></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Arial,sans-serif"><b><span lang="FA" style="font-size:3.0pt"><span style="line-height:150%"><span style="font-family:"B Zar""><span style="color:black"></span></span></span></span></b></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Arial,sans-serif"><b><span lang="FA" style="font-size:14.0pt"><span style="font-family:"B Zar""><span style="color:black">آشنایی با مدل تعیین کنندههای اجتماعی و عوامل خطر فردی برای خودکشی و خودآزاری </span></span></span></b></span></span></span></span><br>
<span style="font-size:10pt"><span style="unicode-bidi:embed"><span style="font-family:Arial,sans-serif"><b><span dir="RTL" lang="FA" style="font-size:3.0pt"><span style="font-family:"Times New Roman",serif"><span style="color:black"></span></span></span></b></span></span></span><br>
<span style="font-size:10pt"><span style="unicode-bidi:embed"><span style="font-family:Arial,sans-serif"><b><span style="font-size:13.0pt"><span style="font-family:"Times New Roman",serif"><span style="color:black"></span></span></span></b></span></span></span><br>
<span style="font-size:10pt"><span style="unicode-bidi:embed"><span style="font-family:Arial,sans-serif"><b><span style="font-size:13.0pt"><span style="font-family:"Times New Roman",serif"><span style="color:black">Getting to Know the Social Determinants and Individual Risk Factors Model for Suicide and Self-Harm </span></span></span></b><b><span dir="RTL" lang="AR-SA" style="font-size:13.0pt"><span style="font-family:"Times New Roman",serif"><span style="color:black"></span></span></span></b></span></span></span><br>
<span style="font-size:10pt"><span style="unicode-bidi:embed"><span style="font-family:Arial,sans-serif"><b><span style="font-size:8.0pt"><span style="font-family:"Times New Roman",serif"><span style="color:black"></span></span></span></b></span></span></span><br>
<span style="font-size:10pt"><span style="unicode-bidi:embed"><span style="font-family:Arial,sans-serif"><b><span style="font-size:8.0pt"><span style="font-family:"Times New Roman",serif"><span style="color:black"></span></span></span></b></span></span></span><br>
<span style="font-size:10pt"><span style="unicode-bidi:embed"><span style="font-family:Arial,sans-serif"><b><span dir="RTL" lang="FA" style="font-size:8.0pt"><span style="font-family:"Times New Roman",serif"><span style="color:black"></span></span></span></b></span></span></span><br>
<span style="font-size:10pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Arial,sans-serif"><b><span lang="FA" style="font-size:13.0pt"><span style="font-family:"B Zar""><span style="color:black">محسن رضائیان<a href="#_ftn1" name="_ftnref1" title=""><sup><b><sup><span style="font-size:11.0pt"><span style="font-family:"Times New Roman",serif"><span style="color:black">[1]</span></span></span></sup></b></sup></a></span></span></span></b></span></span></span></span><br>
<span style="font-size:10pt"><span style="unicode-bidi:embed"><span style="font-family:Arial,sans-serif"><b><span style="font-size:4.0pt"><span style="font-family:"Times New Roman",serif"><span style="color:black"></span></span></span></b></span></span></span><br>
<span style="font-size:10pt"><span style="unicode-bidi:embed"><span style="font-family:Arial,sans-serif"><b><span style="font-size:11.0pt"><span style="font-family:"Times New Roman",serif"><span style="color:black">Mohsen Rezaeian</span></span></span></b></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:135%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Arial,sans-serif"><span lang="FA" style="font-size:3.0pt"><span style="line-height:135%"><span style="font-family:"B Nazanin""><span style="color:black"></span></span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:135%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Arial,sans-serif"><span lang="FA" style="font-size:11.5pt"><span style="line-height:135%"><span style="font-family:"B Nazanin""><span style="color:black"></span></span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:137%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Arial,sans-serif"><span lang="FA" style="font-size:11.5pt"><span style="line-height:137%"><span style="font-family:"B Nazanin""><span style="color:black">خودکشی و خودآزاری از مشکلات پیچیده بهداشت و سلامت عمومی در هر جامعه هستند. شناخت دقیق این دو مسئله به هم پیوسته و عوامل خطر فردی و تعیین کنندههای اجتماعی آنها، میتواند نقش بسزایی در پیشگیری و کنترل این دو پدیده، ایفاء نماید. در سخنان سردبیری قبلی، نگاهی به این دو مشکل بهداشت عمومی و برنامههای ملی برای پیشگیری از آنها، داشتهایم </span></span></span></span><span dir="LTR" style="font-size:9.5pt"><span style="line-height:137%"><span style="font-family:"Times New Roman",serif"><span style="color:black">)</span></span></span></span><span lang="FA" style="font-size:11.5pt"><span style="line-height:137%"><span style="font-family:"B Nazanin""><span style="color:black">9-1</span></span></span></span><span dir="LTR" style="font-size:9.5pt"><span style="line-height:137%"><span style="font-family:"Times New Roman",serif"><span style="color:black">(</span></span></span></span><span lang="FA" style="font-size:11.5pt"><span style="line-height:137%"><span style="font-family:"B Nazanin""><span style="color:black">. هدف از نگارش این سخن سردبیری، آشنا ساختن خوانندگان فرهیخته مجله دانشگاه با مدل تعیین کنندههای اجتماعی و عوامل خطر فردی برای خودکشی و خودآزاری، همراه با نقد کوتاهی بر آن، میباشد. </span></span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:137%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Arial,sans-serif"><span lang="FA" style="font-size:11.5pt"><span style="line-height:137%"><span style="font-family:"B Nazanin""><span style="color:black">پیرکیز (</span></span></span></span><span dir="LTR" style="font-size:9.5pt"><span style="line-height:137%"><span style="font-family:"Times New Roman",serif"><span style="color:black">Pirkis</span></span></span></span><span lang="FA" style="font-size:11.5pt"><span style="line-height:137%"><span style="font-family:"B Nazanin""><span style="color:black">) و همکاران در مقاله خود </span></span></span></span><span dir="LTR" style="font-size:9.5pt"><span style="line-height:137%"><span style="font-family:"Times New Roman",serif"><span style="color:black">)</span></span></span></span><span lang="FA" style="font-size:11.5pt"><span style="line-height:137%"><span style="font-family:"B Nazanin""><span style="color:black">10</span></span></span></span><span dir="LTR" style="font-size:9.5pt"><span style="line-height:137%"><span style="font-family:"Times New Roman",serif"><span style="color:black">(</span></span></span></span><span lang="FA" style="font-size:11.5pt"><span style="line-height:137%"><span style="font-family:"B Nazanin""><span style="color:black">، تصویری از این مدل را ارائه کردهاند (شکل 1). آنها توضیح میدهند که شکل اولیه این این مدل برای شناخت تعیین کنندههای اجتماعی سلامت، در سال 2010 میلادی توسط </span></span></span></span><span dir="LTR" style="font-size:9.5pt"><span style="line-height:137%"><span style="font-family:"Times New Roman",serif"><span style="color:black">Solar</span></span></span></span><span lang="FA" style="font-size:11.5pt"><span style="line-height:137%"><span style="font-family:"B Nazanin""><span style="color:black"> و </span></span></span></span><span dir="LTR" style="font-size:9.5pt"><span style="line-height:137%"><span style="font-family:"Times New Roman",serif"><span style="color:black">Irwin</span></span></span></span><span lang="FA" style="font-size:11.5pt"><span style="line-height:137%"><span style="font-family:"B Nazanin""><span style="color:black"> و در کمیسیون تعیین کنندههای اجتماعی سلامت سازمان جهانی بهداشت، تهیه و تدوین شده است </span></span></span></span><span dir="LTR" style="font-size:9.5pt"><span style="line-height:137%"><span style="font-family:"Times New Roman",serif"><span style="color:black">)</span></span></span></span><span lang="FA" style="font-size:11.5pt"><span style="line-height:137%"><span style="font-family:"B Nazanin""><span style="color:black">11</span></span></span></span><span dir="LTR" style="font-size:9.5pt"><span style="line-height:137%"><span style="font-family:"Times New Roman",serif"><span style="color:black">(</span></span></span></span><span lang="FA" style="font-size:11.5pt"><span style="line-height:137%"><span style="font-family:"B Nazanin""><span style="color:black">. البته، قبل از آن نیز توسط دانشمندان دیگر، مدلهای بهداشت عمومی دیگری ارائه شده بودند که در آنها، تعیین کنندههای اجتماعی و عوامل خطر فردی خودکشی و خودآزاری، مورد توجه قرار گرفته بودند </span></span></span></span><span dir="LTR" style="font-size:9.5pt"><span style="line-height:137%"><span style="font-family:"Times New Roman",serif"><span style="color:black">)</span></span></span></span><span lang="FA" style="font-size:11.5pt"><span style="line-height:137%"><span style="font-family:"B Nazanin""><span style="color:black">14-12</span></span></span></span><span dir="LTR" style="font-size:9.5pt"><span style="line-height:137%"><span style="font-family:"Times New Roman",serif"><span style="color:black">(</span></span></span></span><span lang="FA" style="font-size:11.5pt"><span style="line-height:137%"><span style="font-family:"B Nazanin""><span style="color:black">. </span></span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:137%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Arial,sans-serif"><span lang="FA" style="font-size:11.5pt"><span style="line-height:137%"><span style="font-family:"B Nazanin""><span style="color:black">همانطور که شکل 1 نشان میدهد، مدل، به ترتیب از سمت راست دارای سه پنل به شرح زیر است: پنل اول در برگیرنده تعیین کنندههای اجتماعی، پنل دوم در برگیرنده عوامل خطر فردی و پنل سوم در برگیرنده پیامدهای دو پنل قبلی، یعنی خودکشی و خودآزاری میباشد. برای آنکه با این مدل بهتر آشنا شویم بهتر است نگاهی دقیقتر به اجزاء پنل اول و دوم داشته باشیم.</span></span></span></span></span></span></span></span></span><br>
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<div><span style="font-size:10pt"><span style="line-height:90%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Arial,sans-serif"><b><span lang="FA" style="font-family:"B Nazanin"">عوامل خطر اجتماعی</span></b><b><span lang="FA" style="font-family:"Traditional Arabic"">–</span></b><b><span lang="FA" style="font-family:"B Nazanin"">جمعیت شناختی</span></b></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:90%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Arial,sans-serif"><span lang="FA" style="font-family:"B Nazanin"">عوامل جمعیت شناختی (شامل سن، جنس،</span> <span lang="FA" style="font-family:"B Nazanin"">هویت جنسی، گرایش جنسی، قومیت و میراث فرهنگی) </span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:90%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Arial,sans-serif"><span lang="FA" style="font-family:"B Nazanin""> موقعیت اجتماعی اقتصادی (نظیر آموزش، اشتغال، شغل و در آمد)</span><span lang="FA" style="font-family:"Traditional Arabic""></span></span></span></span></span></span><br>
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<span style="font-size:10pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Arial,sans-serif"><span lang="FA" style="font-family:"B Nazanin"">سیاستهای عمومی (نظیر سیاستهایی که مصرف الکل در جامعه را کاهش میدهد)</span></span></span></span></span><br>
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<span style="font-size:10pt"><span style="line-height:135%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Arial,sans-serif"><span lang="FA" style="font-size:11.5pt"><span style="line-height:135%"><span style="font-family:"B Nazanin""><span style="color:black"></span></span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:135%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Arial,sans-serif"><span lang="FA" style="font-size:11.5pt"><span style="line-height:135%"><span style="font-family:"B Nazanin""><span style="color:black"></span></span></span></span></span></span></span></span></span><br>
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<span style="font-size:10pt"><span style="line-height:135%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Arial,sans-serif"><b><i><span lang="FA" style="font-size:9.0pt"><span style="line-height:135%"><span style="font-family:"B Zar""><span style="color:black">شکل 1- مدل تعیین کنندههای اجتماعی و عوامل خطر فردی برای خودکشی و خودآزاری (10)</span></span></span></span></i></b><span lang="FA" style="font-size:11.5pt"><span style="line-height:135%"><span style="font-family:"B Nazanin""><span style="color:black"></span></span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:135%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Arial,sans-serif"><span lang="FA" style="font-size:11.5pt"><span style="line-height:135%"><span style="font-family:"B Nazanin""><span style="color:black"></span></span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:135%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Arial,sans-serif"><span lang="FA" style="font-size:11.5pt"><span style="line-height:135%"><span style="font-family:"B Nazanin""><span style="color:black">پنل اول، تعیین کنندههای اجتماعی را در هفت دسته به ترتیب زیر قرار میدهد: سیاستهای کلان اقتصادی (نظیر سیاستهای مالیاتی)، سیاستهای عمومی (نظیر سیاستهایی که مصرف الکل در جامعه را کاهش میدهد)، سیاستهای اجتماعی (نظیر سیاستهایی که مربوط به خانه دار شدن و یا بازار فعال کار میباشد)، چارچوب مربوط به قوانین و مقررات (نظیر قوانین مربوط به در اختیار داشتن سلاح گرم)، ارزشهای فرهنگی و اجتماعی (نظیر استعمار، نژادپرستی، تبعیض، نگاه و نگرش به برقراری ارتباط در مورد خودکشی و خودآزاری)، پوشش مراقبتهای بهداشتی و پاسخگویی و توان این نظام (نظیر مراقبتهای عمومی و لیست انتظار) و بالاخره، همبستگی اجتماعی و سرمایه اجتماعی.</span></span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:135%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Arial,sans-serif"><span lang="FA" style="font-size:11.5pt"><span style="line-height:135%"><span style="font-family:"B Nazanin""><span style="color:black">در پنل دوم نیز، عوامل خطر به دو دستهی عوامل خطر اجتماعی </span></span></span></span><span lang="FA" style="font-size:11.5pt"><span style="line-height:135%"><span style="font-family:"Sakkal Majalla""><span style="color:black">–</span></span></span></span><span lang="FA" style="font-size:11.5pt"><span style="line-height:135%"><span style="font-family:"B Nazanin""><span style="color:black"> جمعیت شناختی و سایر عوامل خطر، تقسیم میشوند. عوامل جمعیت شناختی (شامل سن، جنس، هویت جنسی، گرایش جنسی، قومیت و میراث فرهنگی) و موقعیت اجتماعی اقتصادی (نظیر آموزش، اشتغال، شغل و در آمد)، زیر مجموعههای عوامل خطر اجتماعی </span></span></span></span><span lang="FA" style="font-size:11.5pt"><span style="line-height:135%"><span style="font-family:"Sakkal Majalla""><span style="color:black">–</span></span></span></span><span lang="FA" style="font-size:11.5pt"><span style="line-height:135%"><span style="font-family:"B Nazanin""><span style="color:black"> جمعیت شناختی هستند. سایر عوامل خطر نیز به پنج دسته و شرح مقابل تقسیم میشوند: عوامل زمینهای (نظیر وقایع زندگی توام با استرس، مواجهه با خودکشی، دسترسی به روشهای خودکشی، فقدان حمایتهای خانواده و تروما شامل ترومای بین نسلی)، عوامل بالینی (نظیر بیماریهای روانی، استفاده از الکل و مواد، سابقه قبلی خودآزاری و بیماریهای جسمی مزمن)، عوامل وابسته به شخصیت (نظیر تکانشگری، تأثیر پذیری و سبک مقابلهای)، عوامل ژنتیکی/خانوادگی (نظیر سابقه خانوادگی خودکشی) و عوامل عصبی - زیستی (نظیر </span></span></span></span><span dir="LTR" style="font-size:9.5pt"><span style="line-height:135%"><span style="font-family:"Times New Roman",serif"><span style="color:black">DNA</span></span></span></span><span lang="FA" style="font-size:11.5pt"><span style="line-height:135%"><span style="font-family:"B Nazanin""><span style="color:black"> و متیلاسیون).</span></span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:135%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Arial,sans-serif"><span lang="FA" style="font-size:11.5pt"><span style="line-height:135%"><span style="font-family:"B Nazanin""><span style="color:black">ارتباط بین اجزاء این مدل در پنل های سه گانه نیز با استفاده از پیکانهای دوسر نشان میدهد که ارتباط متقابلی مابین تعیین کنندههای اجتماعی در پنل اول، هم با عوامل خطر اجتماعی </span></span></span></span><span lang="FA" style="font-size:11.5pt"><span style="line-height:135%"><span style="font-family:"Sakkal Majalla""><span style="color:black">–</span></span></span></span><span lang="FA" style="font-size:11.5pt"><span style="line-height:135%"><span style="font-family:"B Nazanin""><span style="color:black"> جمعیت شناختی و هم با سایر عوامل خطر در پنل دوم، وجود دارد. همچنین، ارتباط متقابلی ما بین عوامل خطر اجتماعی </span></span></span></span><span lang="FA" style="font-size:11.5pt"><span style="line-height:135%"><span style="font-family:"Sakkal Majalla""><span style="color:black">–</span></span></span></span><span lang="FA" style="font-size:11.5pt"><span style="line-height:135%"><span style="font-family:"B Nazanin""><span style="color:black"> جمعیت شناختی با سایر عوامل خطر در پنل دوم، وجود دارد. بالاخره، در عین حالیکه یک ارتباط متقابل مابین پنل دوم و سوم وجود دارد، اجزا پنل دوم به طور مستقیم باعث رخداد پیامد خودکشی و خودآزاری میگردند.</span></span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:135%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Arial,sans-serif"><span lang="FA" style="font-size:11.5pt"><span style="line-height:135%"><span style="font-family:"B Nazanin""><span style="color:black">بدون شک در این مدل، تمامی عوامل خطر خودکشی و خودآزاری احصاء نشده است. برای مثال، جای خالی تحریمهای اقتصادی، جنگ، درگیرهای نظامی و بلایای طبیعی در پنل اول به شدت مشهود است. همچنین، به نظر میرسد که عنوان پنل اول، به جای تعیین کنندههای اجتماعی، باید به تعیین کنندههای اجتماعی- اقتصادی یا تعیین کنندههای زمینهای، تغییر یابد. همچنین، در پنل دوم و به جای عنوان عوامل خطر اجتماعی </span></span></span></span><span lang="FA" style="font-size:11.5pt"><span style="line-height:135%"><span style="font-family:"Sakkal Majalla""><span style="color:black">–</span></span></span></span><span lang="FA" style="font-size:11.5pt"><span style="line-height:135%"><span style="font-family:"B Nazanin""><span style="color:black"> جمعیت شناختی بهتر بود از عنوان تعیین کنندههای اجتماعی </span></span></span></span><span lang="FA" style="font-size:11.5pt"><span style="line-height:135%"><span style="font-family:"Sakkal Majalla""><span style="color:black">–</span></span></span></span><span lang="FA" style="font-size:11.5pt"><span style="line-height:135%"><span style="font-family:"B Nazanin""><span style="color:black"> جمعیت شناختی، استفاده شود. اما با این وجود، این مدل میتواند برای تمامی کسانی که در حوزه پیشگیری از خودکشی و خودآزاری فعالیت مینمایند، درک مفهومی بسیار عمیقی را از تعیین کنندههای گوناگون زمینهای، اجتماعی، اقتصادی، جمعیت شناختی و عوامل خطر فردی آنها، ایجاد نماید.</span></span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:200%"><span style="unicode-bidi:embed"><span style="font-family:Arial,sans-serif"><span style="font-size:9.5pt"><span style="line-height:200%"><span style="font-family:"Times New Roman",serif"><span style="color:black"></span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:200%"><span style="unicode-bidi:embed"><span style="font-family:Arial,sans-serif"><span style="font-size:9.5pt"><span style="line-height:200%"><span style="font-family:"Times New Roman",serif"><span style="color:black"></span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:200%"><span style="unicode-bidi:embed"><span style="font-family:Arial,sans-serif"><b><span style="font-size:14.0pt"><span style="line-height:200%"><span style="font-family:"Times New Roman",serif"><span style="color:black">References</span></span></span></span></b><b><span style="font-size:9.0pt"><span style="line-height:200%"><span style="font-family:"Times New Roman",serif"><span style="color:black"></span></span></span></span></b></span></span></span></span>
<ol>
<li style="margin-left:8px"><span style="font-size:10pt"><span style="line-height:150%"><span style="font-family:"Times New Roman",serif"><span style="border:none windowtext 1.0pt; font-size:9.0pt; padding:0cm"></span><span style="border:none windowtext 1.0pt; font-size:9.0pt; padding:0cm"><span style="background:white"><span style="line-height:150%">Rezaeian M. Suicidal Behavior and its Prevention: Emergence of Suicidal Thoughts and Planning for its Implementation. <i>JRUMS</i> 2024; 22 (9): 909-10</span></span></span><span dir="RTL" lang="FA" style="border:none windowtext 1.0pt; font-size:9.0pt; padding:0cm"><span style="background:white"><span style="line-height:150%"><span style="font-family:"B Nazanin"">.</span></span></span></span><span style="border:none windowtext 1.0pt; font-size:9.0pt; padding:0cm"><span style="background:white"><span style="line-height:150%"></span></span></span></span></span></span></li>
<li style="margin-left:8px"><span style="font-size:10pt"><span style="line-height:150%"><span style="font-family:"Times New Roman",serif"><span style="border:none windowtext 1.0pt; font-size:9.0pt; padding:0cm"></span><span style="border:none windowtext 1.0pt; font-size:9.0pt; padding:0cm"><span style="background:white"><span style="line-height:150%">Rezaeian M. Suicidal Behavior and Its Prevention: Attempted Suicide and Suicide. <i>JRUMS</i> 2024; 22 (10): 1017-18</span></span></span><span dir="RTL" lang="FA" style="border:none windowtext 1.0pt; font-size:9.0pt; padding:0cm"><span style="background:white"><span style="line-height:150%"><span style="font-family:"B Nazanin"">.</span></span></span></span><span style="border:none windowtext 1.0pt; font-size:9.0pt; padding:0cm"><span style="background:white"><span style="line-height:150%"></span></span></span></span></span></span></li>
<li style="margin-left:8px"><span style="font-size:10pt"><span style="line-height:150%"><span style="font-family:"Times New Roman",serif"><span style="border:none windowtext 1.0pt; font-size:9.0pt; padding:0cm"></span><span style="border:none windowtext 1.0pt; font-size:9.0pt; padding:0cm"><span style="background:white"><span style="line-height:150%">Rezaeian M. Suicidal Behavior and its Prevention: the Necessity of Using Multi-Components Strategies for Prevention. <i>JRUMS</i> 2024; 22 (11): 1131-32</span></span></span></span></span></span></li>
<li style="margin-left:8px"><span style="font-size:10pt"><span style="line-height:150%"><span style="font-family:"Times New Roman",serif"><span style="border:none windowtext 1.0pt; font-size:9.0pt; padding:0cm"></span><span style="border:none windowtext 1.0pt; font-size:9.0pt; padding:0cm"><span style="background:white"><span style="line-height:150%">Rezaeian M. Suicidal behavior and its prevention: an introduction to the strategy of the European Alliance against Depression. <i>JRUMS</i> 2024; 22 (12); 1235-36</span></span></span><span dir="RTL" lang="FA" style="border:none windowtext 1.0pt; font-size:9.0pt; padding:0cm"><span style="background:white"><span style="line-height:150%"><span style="font-family:"B Nazanin"">.</span></span></span></span><span style="border:none windowtext 1.0pt; font-size:9.0pt; padding:0cm"><span style="background:white"><span style="line-height:150%"></span></span></span></span></span></span></li>
<li style="margin-left:8px"><span style="font-size:10pt"><span style="line-height:150%"><span style="font-family:"Times New Roman",serif"><span style="border:none windowtext 1.0pt; font-size:9.0pt; padding:0cm"></span><span style="border:none windowtext 1.0pt; font-size:9.0pt; padding:0cm"><span style="background:white"><span style="line-height:150%">Rezaeian M. Suicidal Behavior and Its Prevention: Getting to Know Zero Suicide Strategy. <i>JRUMS</i> 2024; 23 (1); 1-2</span></span></span></span></span></span></li>
<li style="margin-left:8px"><span style="font-size:10pt"><span style="line-height:150%"><span style="font-family:"Times New Roman",serif"><span style="border:none windowtext 1.0pt; font-size:9.0pt; padding:0cm"></span><span style="border:none windowtext 1.0pt; font-size:9.0pt; padding:0cm"><span style="background:white"><span style="line-height:150%">Rezaeian M. Suicidal Behavior and Its Prevention: Getting to Know LifeSpan Strategy <i>JRUMS</i> 2024; 23 (2): 88-9.</span></span></span></span></span></span></li>
<li style="margin-left:8px"><span style="font-size:10pt"><span style="line-height:150%"><span style="font-family:"Times New Roman",serif"><span style="border:none windowtext 1.0pt; font-size:9.0pt; padding:0cm"></span><span style="border:none windowtext 1.0pt; font-size:9.0pt; padding:0cm"><span style="background:white"><span style="line-height:150%">Rezaeian M. Introducing the National Suicide Prevention Program in Iran. <i>JRUMS</i> 2024; 23 (3): 188-90.</span></span></span></span></span></span></li>
<li style="margin-left:8px"><span style="font-size:10pt"><span style="line-height:150%"><span style="font-family:"Times New Roman",serif"><span style="border:none windowtext 1.0pt; font-size:9.0pt; padding:0cm"></span><span style="border:none windowtext 1.0pt; font-size:9.0pt; padding:0cm"><span style="background:white"><span style="line-height:150%">Rezaeian M. Pathology of Iran's National Suicide Prevention Program. <i>JRUMS</i> 2024; 23 (4): 275-7</span></span></span></span></span></span></li>
<li style="margin-left:8px"><span style="font-size:10pt"><span style="line-height:150%"><span style="font-family:"Times New Roman",serif"><span style="border:none windowtext 1.0pt; font-size:9.0pt; padding:0cm"></span><span style="border:none windowtext 1.0pt; font-size:9.0pt; padding:0cm"><span style="background:white"><span style="line-height:150%">Rezaeian M. Suicidal Behavior and Its Prevention: A Proposed Multi-Components Strategy for Iran. <i> JRUMS </i>2024; 23 (5): 374-6.</span></span></span></span></span></span></li>
<li style="margin-left:8px"><span style="font-size:10pt"><span style="line-height:150%"><span style="font-family:"Times New Roman",serif"><span style="border:none windowtext 1.0pt; font-size:9.0pt; padding:0cm"></span><span style="border:none windowtext 1.0pt; font-size:9.0pt; padding:0cm"><span style="background:white"><span style="line-height:150%">Pirkis J, Gunnell D, Hawton K, Hetrick S, Niederkrotenthaler T, Sinyor M, Yip PSF, Robinson J. A Public Health, Whole-of-Government Approach to National Suicide Prevention Strategies. <i>Crisis</i> 2023; 44(2):85-92</span></span></span><span dir="RTL" lang="FA" style="border:none windowtext 1.0pt; font-size:9.0pt; padding:0cm"><span style="background:white"><span style="line-height:150%"><span style="font-family:"B Nazanin"">. </span></span></span></span><span style="border:none windowtext 1.0pt; font-size:9.0pt; padding:0cm"><span style="background:white"><span style="line-height:150%"></span></span></span></span></span></span></li>
<li style="margin-left:8px"><span style="font-size:10pt"><span style="line-height:150%"><span style="font-family:"Times New Roman",serif"><span style="border:none windowtext 1.0pt; font-size:9.0pt; padding:0cm"></span><span style="border:none windowtext 1.0pt; font-size:9.0pt; padding:0cm"><span style="background:white"><span style="line-height:150%">Solar O, Irwin A. A conceptual framework for action on the social determinants of health. Geneva: World Health Organization. 2010</span></span></span><span dir="RTL" lang="FA" style="border:none windowtext 1.0pt; font-size:9.0pt; padding:0cm"><span style="background:white"><span style="line-height:150%"><span style="font-family:"B Nazanin"">.</span></span></span></span><span style="border:none windowtext 1.0pt; font-size:9.0pt; padding:0cm"><span style="background:white"><span style="line-height:150%"></span></span></span></span></span></span></li>
<li style="margin-left:8px"><span style="font-size:10pt"><span style="line-height:150%"><span style="font-family:"Times New Roman",serif"><span style="border:none windowtext 1.0pt; font-size:9.0pt; padding:0cm"></span><span style="border:none windowtext 1.0pt; font-size:9.0pt; padding:0cm"><span style="background:white"><span style="line-height:150%">Mościcki EK. Identification of suicide risk factors using epidemiologic studies. <i>Psychiatr Clin North Am</i> 1997; 20(3): 499-517.</span></span></span> <span style="border:none windowtext 1.0pt; font-size:9.0pt; padding:0cm"><span style="background:white"><span style="line-height:150%"></span></span></span></span></span></span></li>
<li style="margin-left:8px"><span style="font-size:10pt"><span style="line-height:150%"><span style="font-family:"Times New Roman",serif"><span style="border:none windowtext 1.0pt; font-size:9.0pt; padding:0cm"></span><span style="border:none windowtext 1.0pt; font-size:9.0pt; padding:0cm"><span style="background:white"><span style="line-height:150%">Silverman MM, Felner RD. Suicide prevention programs: issues of design, implementation, feasibility, and developmental appropriateness. <i>Suicide Life Threat Behav</i> 1995; 25(1): 92-104</span></span></span><span dir="RTL" lang="FA" style="border:none windowtext 1.0pt; font-size:9.0pt; padding:0cm"><span style="background:white"><span style="line-height:150%"><span style="font-family:"B Nazanin"">.</span></span></span></span><span style="border:none windowtext 1.0pt; font-size:9.0pt; padding:0cm"><span style="background:white"><span style="line-height:150%"></span></span></span></span></span></span></li>
<li style="text-align:justify; margin-left:8px"><span style="font-size:10pt"><span style="line-height:150%"><span style="font-family:"Times New Roman",serif"><span style="border:none windowtext 1.0pt; font-size:9.0pt; padding:0cm"></span><span style="border:none windowtext 1.0pt; font-size:9.0pt; padding:0cm"><span style="background:white"><span style="line-height:150%">Silverman MM, Maris RW. The prevention of suicidal behaviors: an overview. <i>Suicide Life Threat Behav</i> 1995; 25(1): 10-21.</span></span></span></span></span></span></li>
</ol>
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<div><span style="font-size:10pt"><span style="unicode-bidi:embed"><span style="font-family:Arial,sans-serif"><b><span style="font-family:"Times New Roman",serif">Citation:</span></b> <span style="font-size:9.0pt"><span style="font-family:"Times New Roman",serif">Rezaeian M. Getting to Know the Social Determinants and Individual Risk Factors Model for Suicide and Self-harm. <i>J Rafsanjan</i> <i>Univ Med Sci</i> 2024; 23 (6): 478-81. [Farsi]</span></span><span dir="RTL" lang="FA" style="font-size:9.0pt"><span style="font-family:"B Nazanin""></span></span></span></span></span></div>
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<div><span style="font-size:10pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Arial,sans-serif"><span lang="FA" style="font-size:11.0pt"><span style="font-family:"B Nazanin"">ارجاع: رضائیان م. آشنایی با مدل تعیین کنندههای اجتماعی و عوامل خطر فردی برای خودکشی و خودآزاری. <i>مجله دانشگاه علوم پزشکی رفسنجان</i>، سال 1403، دوره 23 شماره 6، صفحات: 481-478. </span></span><span lang="FA" style="font-family:"B Nazanin""></span></span></span></span></span></div>
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<div style="border-bottom:solid windowtext 1.0pt; padding:0cm 0cm 1.0pt 0cm; margin-left:416px"><span style="font-size:10pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Arial,sans-serif"><span lang="FA" style="font-size:1.0pt"><span style="font-family:"B Compset""></span></span></span></span></span></span></div>
<span style="font-size:10pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Arial,sans-serif"><span class="MsoFootnoteReference" style="vertical-align:super"><span dir="LTR" style="font-family:"Times",serif"><span class="MsoFootnoteReference" style="vertical-align:super"><span style="font-size:10.0pt"><span style="font-family:"Times",serif">[1]</span></span></span></span></span><span lang="AR-SA" style="font-family:"B Compset"">- <span style="color:black">استاد گروه آموزشی اپیدمیولوژی و آمار زیستی، دانشکده بهداشت، </span>مرکز تحقیقات محیط کار، <span style="color:black">دانشگاه علوم پزشکی رفسنجان، رفسنجان، ایران<br>
کد پستی: 7718175911، </span></span><span lang="FA" style="font-family:"B Compset"">تلفن: 31315243-034، پست الکترونیکی: </span><span dir="LTR" style="font-family:"Times",serif">moeygmr2@yahoo.co.uk</span><span lang="FA" style="font-family:"B Compset"">، </span><span lang="AR-SA" style="font-family:"B Compset""><span style="color:black">ارکید: </span></span><span style="font-family:"Times New Roman",serif"><a href="http://orcid.org/0000-0003-3070-0166" target="_blank"><span dir="LTR" style="text-decoration:none"><span style="text-underline:none"> 0000-0003-3070-0166</span></span></a></span><span dir="LTR" style="font-family:"Times",serif"></span></span></span></span></span></div>
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عوامل خطر فردی , خودکشی , خودآزاری
Individual Risk Factors, Suicide , Self-Harm
478
481
http://journal.rums.ac.ir/browse.php?a_code=A-10-280-160&slc_lang=other&sid=1
Mohsen
Rezaeian
محسن
رضائیان
moeygmr2@yahoo.co.uk
6900319475328460058529
6900319475328460058529
Yes
دانشگاه علوم پزشکی رفسنجان