fa مراحل تدوین یک استراتژی جامع پیش‌گیری از خودکشی: یک مرور روایتی آمار و اپيدميولوژي Statistics& Epidemiology مقاله مروري Review Article <strong><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">چکیده</span></span></strong><br> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">خودکشی،</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">نوعی آسیب چند بعدی رفتاری است که عوامل متعددی در بروز آن دخیل هستند و همواره به عنوان یکی از مشکلات و نگرانی&shy;های بهداشت عمومی مطرح بوده است. پیش&shy;گیری از این آسیب نیازمند یک طرح جهانی به همراه </span></span><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">استراتژی&shy;های</span></span><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;"> ملّی و اقدامات محلی است. تدوین </span></span><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">یک</span></span><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;"> استراتژی پیش&shy;گیری از خودکشی </span></span><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">مستلزم</span></span><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;"> توجه به تمام سطوح پیش&shy;گیری است و اجزای آن با همکاری نهادهای مختلفی هم چون آموزش و پرورش، صدا و سیما، بهزیستی، وزارت بهداشت و درمان و وزارت ارشاد میسر می&shy;گردد</span></span><span dir="LTR">.</span><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;"> هدف از این مطالعه مروری، تعیین ابعاد تدوین و اج</span></span><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">ز</span></span><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">ای یک استراتژی جامع پیش&shy;گیری از خودکشی می&shy;باشد. </span></span><br> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">طبق نتایج مطالعه حاضر، به</span></span><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">‌</span></span><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">نظر می&shy;رسد مسیر تدوین استراتژی پیش&shy;گیری از خودکشی برای کشورهایی که هنوز هیچ فعالیتی را در خصوص پیش&shy;گیری از خودکشی آغاز ننموده&shy;اند، با مسیر تدوین این استراتژی در کشورهایی که در گذشته حداقل یک طرح جامع پیش&shy;گیری از خودکشی را اجرایی کرده</span></span><span dir="LTR">‌</span><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">اند، متفاوت است. بنابراین، ضروری است که هر کشور به تناسب اقتضائات و پیشینه</span></span><span dir="LTR">‌</span><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">ای که در زمینه خودکشی دارد، ضمن تکیه بر تعریف دقیق رفتار خودکشی و مراحل آن، و با شناخت مهم&shy;ترین عوامل خطر زمینه‌ساز خودکشی در هر منطقه و توجه به تمام سطوح پیش&shy;گیری، نسبت به تدوین یک استراتژی جامع پیش&shy;گیری از خودکشی اقدام نماید. </span></span><br> <strong><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">واژه</span></span></strong><strong><span dir="LTR">&shy;</span></strong><strong><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">های کلیدی:</span></span></strong><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;"> خودکشی، استراتژی، پیش&shy;گیری</span></span> <br> Suicide is a kind perspective of behavioral multi-dimensional disorder that is associated with many factors. Suicide Prevention requires a global with national plan and local action. Developing a suicide prevention strategy requires attention to all levels of prevention, and it is possible to implement in cooperation with various institutions and ministries such as education, health and wellbeing, and culture. The purpose of this study was to determine the dimensions of a comprehensive suicide prevention strategy.<br> According to the results of this study, it seems that the pathway to developing a suicidal prevention strategy for countries that have not yet started any activities on suicide prevention have been different with this pathway to developing a suicide prevention in countries that have been implementing at least a comprehensive suicide prevention plan or strategy. Therefore, it is imperative that each country, in accordance with its requirements and background and by relying on the precise definition of suicidal behavior and its stages, identifying the most important risk factors for suicide in each region and paying attention to all levels of prevention, setting up a comprehensive suicide prevention strategy.<br> Key words: Suicide, Prevention, Strategy<br> <br> Funding: This study did not have any funds.<br> Conflict of interest: None declared.<br> Etical approval: None declared.<br> <br> <br> How to cite this article: Doost Mohammadi F, Rezaeian M. The Steps to Develop a Comprehensive Suicide Prevention Strategy: A Narrative Review. J Rafsanjan Univ Med Sci 2020; 18 (11): 1155-82. [Farsi]<br> <br> Suicide is a kind perspective of behavioral multi-dimensional disorder that is associated with many factors. Suicide Prevention requires a global with national plan and local action. Developing a suicide prevention strategy requires attention to all levels of prevention, and it is possible to implement in cooperation with various institutions and ministries such as education, health and wellbeing, and culture. The purpose of this study was to determine the dimensions of a comprehensive suicide prevention strategy.<br> According to the results of this study, it seems that the pathway to developing a suicidal prevention strategy for countries that have not yet started any activities on suicide prevention have been different with this pathway to developing a suicide prevention in countries that have been implementing at least a comprehensive suicide prevention plan or strategy. Therefore, it is imperative that each country, in accordance with its requirements and background and by relying on the precise definition of suicidal behavior and its stages, identifying the most important risk factors for suicide in each region and paying attention to all levels of prevention, setting up a comprehensive suicide prevention strategy.<br> Key words: Suicide, Prevention, Strategy<br> <br> Funding: This study did not have any funds.<br> Conflict of interest: None declared.<br> Etical approval: None declared.<br> <br> <br> How to cite this article: Doost Mohammadi F, Rezaeian M. The Steps to Develop a Comprehensive Suicide Prevention Strategy: A Narrative Review. J Rafsanjan Univ Med Sci 2020; 18 (11): 1155-82. [Farsi]<br> &nbsp; خودکشی, استراتژی, پیش­گیری Suicide, Prevention, Strategy 1155 1182 http://journal.rums.ac.ir/browse.php?a_code=A-10-3885-3&slc_lang=fa&sid=1 F. Doost Mohammadi فاطمه دوست محمدی moeygmr2@yahoo.co.uk 6900319475328460039698 6900319475328460039698 No Rafsanjan University of MedicalSciences دانشگاه علوم پزشکی رفسنجان M. Rezaeian محسن رضائیان mydaydream2_1991@yahoo.com 6900319475328460039699 6900319475328460039699 Yes Yazd University of MedicalSciences دانشگاه علوم پزشکی یزد