Journal of Rafsanjan University of Medical Sciences

fa بررسی اپیدمیولوژی جغرافیایی خودکشی و اقدام به آن در سطح شهرستان‌های استان کهگیلویه و بویراحمد طی سال‌های 1396 تا 1400: یک مطالعه مقطعی Studying the Geographic Epidemiology of Suicide and Attempted Suicide in the Cities of Kohgiluyeh and Boyer Ahmad Province During 2017 to 2021 آمار و اپيدميولوژي Statistics& Epidemiology توصيفي Description زمینه و هدف: خودکشی و اقدام به آن یکی از مشکلات عمده بهداشت عمومی محسوب میشود و با توجه به عوامل اقتصادی، اجتماعی، فرهنگی، محیطی و فردی متفاوت است. لذا هدف مطالعه حاضر تعیین اپیدمیولوژی جغرافیایی خودکشی و اقدام به آن در یک دوره 5 ساله در سطح شهرستانهای استان کهگیلویه و بویراحمد بود. مواد و روش ها: در این مطالعه مقطعی، تمام افرادی که طی سالهای 1396 تا 1400 در شهرستانهای استان کهگیلویه و بویراحمد خودکشی (382 مورد) و اقدام به خودکشی (7039 مورد) داشتند، مورد بررسی قرار گرفتند. اطلاعات با چکلیست برنامه کشوری پیشگیری از خودکشی جمعآوری و میزان بروز استاندارد شده سنی برای شهرستانها محاسبه شد. یافته ها: بیشترین موارد خودکشی شهرستانها در افراد سنین 15 تا 24 سال (50/76-80/30 درصد) و 25 تا 34 سال (50-90/5 درصد)، مجرد (100-20/46 درصد)، بیکار (90/52-54/23 درصد) و خانهدار (50/38-90/11 درصد) بود و همچنین بیشترین موارد اقدام به خودکشی نیز در افراد سنین 15 تا 24 سال (50/57-40/44 درصد)، 25 تا 34 سال (60/32-70/25 درصد)، مجرد (70/80-69/45 درصد)، بیکار (10/70-84/20 درصد)، و خانهدار (83/45-50/18 درصد) بود. مردان بیشترین فراوانی را در خودکشی و زنان بیشترین فراوانی را در اقدام به خودکشی داشتند. نتیجه گیری: در همه شهرستانهای استان، اکثر افرادی که خودکشی و یا اقدام به آن داشتند در سنین 15 تا 34 سال و بیکار بودند. لذا لازم است که متولیان امر سلامت نسبت به غربالگری و ارجاع گروههای آسیبپذیر و همچنین ایجاد زمینه‌های اشتغال، تشکیل خانواده جوانان، آموزش مسائل بلوغ و دیگر مشکلات این گروه سنی توجه ویژهای داشته باشند. واژه های کلیدی: اپیدمیولوژی، خودکشی، اقدام به خودکشی، کهگیلویه و بویراحمد Studying the Geographic Epidemiology of Suicide and Attempted Suicide in the Cities of Kohgiluyeh and Boyer Ahmad Province During 2017 to 2021 Sedighe Valizadegan<a href="#_ftn1" name="_ftnref1" title="">[1]</a>, Hassan Ahmadinia<a href="#_ftn2" name="_ftnref2" title="">[2]</a>, Reza Vazirinegad<a href="#_ftn3" name="_ftnref3" title="">[3]</a>, Mohsen Rezaeian<a href="#_ftn4" name="_ftnref4" title="">[4]</a> Received: 30/09/23       Sent for Revision: 11/11/23       Received Revised Manuscript: 08/05/24   Accepted: 11/05/24 <v:roundrect arcsize="0" id="Rounded_x0020_Rectangle_x0020_7" o:gfxdata="UEsDBBQABgAIAAAAIQC75UiUBQEAAB4CAAATAAAAW0NvbnRlbnRfVHlwZXNdLnhtbKSRvU7DMBSF dyTewfKKEqcMCKEmHfgZgaE8wMW+SSwc27JvS/v23KTJgkoXFsu+P+c7Ol5vDoMTe0zZBl/LVVlJ gV4HY31Xy4/tS3EvRSbwBlzwWMsjZrlprq/W22PELHjb51r2RPFBqax7HCCXIaLnThvSAMTP1KkI +gs6VLdVdad08ISeCho1ZLN+whZ2jsTzgcsnJwldluLxNDiyagkxOquB2Knae/OLUsyEkjenmdzb mG/YhlRnCWPnb8C898bRJGtQvEOiVxjYhtLOxs8AySiT4JuDystlVV4WPeM6tK3VaILeDZxIOSsu ti/jidNGNZ3/J08yC1dNv9v8AAAA//8DAFBLAwQUAAYACAAAACEArTA/8cEAAAAyAQAACwAAAF9y ZWxzLy5yZWxzhI/NCsIwEITvgu8Q9m7TehCRpr2I4FX0AdZk2wbbJGTj39ubi6AgeJtl2G9m6vYx 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AAAhALY7BCJUBgAACxoAABoAAAAAAAAAAAAAAAAAwQQAAGNsaXBib2FyZC90aGVtZS90aGVtZTEu eG1sUEsBAi0AFAAGAAgAAAAhAJxmRkG7AAAAJAEAACoAAAAAAAAAAAAAAAAATQsAAGNsaXBib2Fy ZC9kcmF3aW5ncy9fcmVscy9kcmF3aW5nMS54bWwucmVsc1BLBQYAAAAABQAFAGcBAABQDAAAAAA= " style="position:absolute; left:0; text-align:left; margin-top:3px; width:496.5pt; height:420.95pt; z-index:-251667456; v-text-anchor:top"> <w:wrap anchorx="margin"> </w:wrap></v:roundrect> <a name="_Hlk114425361">Background and Objectives:</a> Suicide and attempted suicide are among the major public health problems and the most important indicators of public mental health, which vary according to economic, social, cultural, environmental, and individual factors. The present study was conducted in order to investigate the geographical epidemiology of suicide and attempted suicide in a 5-year period in the cities of Kohgiluyeh and Boyer Ahmad Province. Materials and Methods: In this cross-sectional study, all the people who committed suicide (382 cases) and attempted suicide (7039 cases) in the citiies of Kohgiluyeh and Boyer Ahmad Province, during 2017 to 2021, were investigated. Data were collected using the National Suicide Prevention Program Checklist and the age-standardized incidence rate was calculated for the cities. Results: The most cases of suicide in these cities were among people of the age group 15 to 24 years old (30.80 to 76.50 percent), 25 to 34 years old (5.90 to 50 percent), single (46.20 to 100 percent), unemployed (23.54 to 52.90 percent), and housewives (11.90 to 38.5 percent), and also the most important cases of suicide attempt among people aged 15 to 24 years old (44.40 to 57.50 percent), 25 to 34 years old (25.70 to 32.60 percent), single (45.69 to 80.70 percent), unemployed (20.84 to 70.10 percent), and housewives (18.50 to 45.83 percent). Men had the highest frequency of suicide and women had the highest frequency of suicide attempts. Conclusion: In all the cities of the province, most of the people who committed suicide or attempted suicide were between the ages of 15 and 34 and unemployed. Therefore, those in charge of health should necessarily pay special attention to the screening and referral of vulnerable groups, as well as the creation of employment opportunities, the family formation of young people, the education of puberty issues. And other problems of this age group. Key words: Epidemiology, Suicide, Attempted suicide, Kohgiloye and Boyerahmad Funding: This study did not have any funds. Conflict of interest: None declared. Ethical considerations: The Ethics Committee of Rafsanjan University of Medical Sciences approved the study (IR.RUMS.REC.1401.033). Authors’ contributions: - Conceptualization: Mohsen Rezaeian - Methodology: Mohsen Rezaeian, Sedighe Valizadegan -Data collection: Sedighe Valizadegan - Formal analysis: Hassan Ahmadinia, Sedighe Valizadegan - Supervision: Mohsen Rezaeian, Reza Vazirinegad - Project administration: Mohsen Rezaeian - Writing – original draft: Sedighe Valizadegan - Writing – review & editing: Mohsen Rezaeian, Hassan Ahmadinia, Reza Vazirinegad <v:roundrect arcsize="0" id="Rounded_x0020_Rectangle_x0020_6" o:gfxdata="UEsDBBQABgAIAAAAIQC75UiUBQEAAB4CAAATAAAAW0NvbnRlbnRfVHlwZXNdLnhtbKSRvU7DMBSF dyTewfKKEqcMCKEmHfgZgaE8wMW+SSwc27JvS/v23KTJgkoXFsu+P+c7Ol5vDoMTe0zZBl/LVVlJ gV4HY31Xy4/tS3EvRSbwBlzwWMsjZrlprq/W22PELHjb51r2RPFBqax7HCCXIaLnThvSAMTP1KkI +gs6VLdVdad08ISeCho1ZLN+whZ2jsTzgcsnJwldluLxNDiyagkxOquB2Knae/OLUsyEkjenmdzb mG/YhlRnCWPnb8C898bRJGtQvEOiVxjYhtLOxs8AySiT4JuDystlVV4WPeM6tK3VaILeDZxIOSsu ti/jidNGNZ3/J08yC1dNv9v8AAAA//8DAFBLAwQUAAYACAAAACEArTA/8cEAAAAyAQAACwAAAF9y 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AAAAAAAAAAAAACACAABjbGlwYm9hcmQvZHJhd2luZ3MvZHJhd2luZzEueG1sUEsBAi0AFAAGAAgA AAAhALY7BCJUBgAACxoAABoAAAAAAAAAAAAAAAAAwQQAAGNsaXBib2FyZC90aGVtZS90aGVtZTEu eG1sUEsBAi0AFAAGAAgAAAAhAJxmRkG7AAAAJAEAACoAAAAAAAAAAAAAAAAATQsAAGNsaXBib2Fy ZC9kcmF3aW5ncy9fcmVscy9kcmF3aW5nMS54bWwucmVsc1BLBQYAAAAABQAFAGcBAABQDAAAAAA= " style="position:absolute; left:0; text-align:left; margin-top:5px; width:496.3pt; height:44.3pt; z-index:-251669504; v-text-anchor:top"> <w:wrap anchorx="margin"> </w:wrap></v:roundrect> Citation: Valizadegan S, Ahmadinia H, Vazirinegad R, Rezaeian M. Studying the Geographic Epidemiology of Suicide and Attempted Suicide in the Cities of Kohgiluyeh and Boyer Ahmad During 2017 to 2021. J Rafsanjan Univ Med Sci 2024; 23 (2): 134-56. [Farsi] <div>  <hr align="left" size="1" width="33%" > <div id="ftn1"> <div style="border-bottom:solid windowtext 1.0pt; padding:0cm 0cm 1.0pt 0cm; margin-right:476px"></div> [1]- MSc Student in Epidemiology, School of Health, Rafsanjan University of Medical Sciences, Rafsanjan, Iran</div> <div id="ftn2"><a href="#_ftnref2" name="_ftn2" title="">[2]</a>- Assistant Prof., Dept. of Epidemiology and Biostatistics, School of Health, Occupational Environment Research Center, Rafsanjan University of Medical Sciences, Rafsanjan, Iran</div> <div id="ftn3"><a href="#_ftnref3" name="_ftn3" title="">[3]</a>- Prof., Dept. of Community Medicine, Occupational Environmental Research Center, Medical School, Rafsanjan University of Medical Sciences, Rafsanjan, Iran</div> <div id="ftn4"><a href="#_ftnref4" name="_ftn4" title="">[4]</a>- Prof., Dept. of Epidemiology and Biostatistics, School of Health, Occupational Environment Research Center, Rafsanjan University of Medical Sciences, Rafsanjan, Iran, ORCID: 0000 -0003 -3070 -0166 (Corresponding Author) Tel: (034) 31315123, E-mail: moeygmr2@yahoo.co.uk</div> </div> اپیدمیولوژی, خودکشی, اقدام به خودکشی, کهگیلویه و بویراحمد Epidemiology, Suicide, Attempted suicide, Kohgiloye and Boyerahmad 134 156 http://journal.rums.ac.ir/browse.php?a_code=A-10-6535-1&slc_lang=fa&sid=1 Sedighe Valizadegan صدیقه ولی زادگان kh.valizadegan@gmail.com 6900319475328460057502 0009-0005-8938-9140 No 1MSc Student of Epidemiology, Medical School, Rafsanjan University of Medical Sciences, Rafsanjan دانشجوی کارشناسی ارشد اپیدمیولوژی، دانشکده بهداشت، دانشگاه علوم پزشکی رفسنجان، رفسنجان Hassan Ahmadinia حسن احمدی نیا H.ahmadinia@gmail.com 6900319475328460057503 6900319475328460057503 No Department of Epidemiology and Biostatistics, School of Health, Occupational Environment Research Center, Rafsanjan University of Medical Sciences, Rafsanjan 2- استادیار گروه آموزشی اپیدمیولوژی و آمارزیستی، دانشکده بهداشت، مرکز تحقیقات محیط کار، دانشگاه علوم پزشکی رفسنجان، رفسنجان، ایران Reza Vazirinegad رضا وزیری نژاد rvazirinejad@yahoo.co.uk 6900319475328460057504 6900319475328460057504 No Department of Community Medicine, School of Medicine Social Determinants of Health Research Center Rafsanjan University of Medical Sciences, Rafsanjan 3- استاد گروه آموزشی اپیدمیولوژی و آمارزیستی، دانشکده بهداشت، مرکز تحقیقات محیط کار، دانشگاه علوم پزشکی رفسنجان، رفسنجان، ایران Mohsen Rezaeian محسن رضائیان moeygmr2@yahoo.co.uk 6900319475328460057505 6900319475328460057505 Yes Department ofEpidemiology and Biostatistics, Occupational Environmental Research Center, Medical School, Rafsanjan University of Medical Sciences, Rafsanjan استاداپیدمیولوژی، رئیس گروه اپیدمیولوژی و آمار زیستی دانشکده پزشکی رفسنجان،رفسنجان