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The Mortality Rate From Self-Harm in Iran Publisher Pubmed



Ghodsi Z1 ; Moghaddam SS2 ; Vezvaei P3 ; Yoosefi M10 ; Rezaei N2 ; Saadat S3 ; Sheidaei A4 ; Sharifalhoseini M3 ; Sadeghian F11 ; Ahmadi N2 ; Jazayeri SB5 ; Salamati P3 ; Khosravi A6 ; Moradilakeh M7 Show All Authors
Authors
  1. Ghodsi Z1
  2. Moghaddam SS2
  3. Vezvaei P3
  4. Yoosefi M10
  5. Rezaei N2
  6. Saadat S3
  7. Sheidaei A4
  8. Sharifalhoseini M3
  9. Sadeghian F11
  10. Ahmadi N2
  11. Jazayeri SB5
  12. Salamati P3
  13. Khosravi A6
  14. Moradilakeh M7
  15. Mokdad AH8
  16. Oreilly G9
  17. Rahimimovaghar V3
Show Affiliations
Authors Affiliations
  1. 1. Department of Midwifery, Tuyserkan Branch, Islamic Azad University, Tuyserkan, Iran
  2. 2. Non-Communicable Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran
  3. 3. Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran
  4. 4. Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
  5. 5. Department of Surgery, Kaiser Permanente Fontana Medical Center, Fontana, CA, United States
  6. 6. Deputy for Public Health, Ministry of Health and Medical Education, Tehran, Iran
  7. 7. Preventive Medicine and Public Health Research Center, Iran University of Medical Sciences, Tehran, Iran
  8. 8. Institute for Health Metrics and Evaluation, University of Washington, Washington, United States
  9. 9. Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia
  10. 10. Endocrinology and Metabolism Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran
  11. 11. Center for Health Related Social and Behavioral Sciences Research, Shahroud University of Medical Sciences, Shahroud, Iran

Source: Public Health Published:2020


Abstract

Background: Self-harm–related death is one of the most unfortunate, tragic, and regrettable types of death owing to injuries with a variety of socio-economic and cultural causes. The study aimed to determine the trend in the mortality of self-harm by sex and age at national and provincial levels in Iran over a period of 26 years. Methods: The Iran Death Registration System (DRS), cemetery databanks in Tehran and Esfahan, and the national population and housing censuses of Iran were used for this study. Using a growth model, the population was estimated in the age groups. Incompleteness, misalignment, and misclassification in the DRS were all considered and addressed accordingly. We used a spatio-temporal and Gaussian process regression model to estimate mortality rates in children and adults. Results: Over the study period, 67,670 deaths were estimated owing to self-harm across the country. The overall age-standardized mortality rate decreased from 4.32 per 100,000 (95% unit interface (UI): 3.25–5.75) to 2.78 (2.15–3.59) per 100,000 between 1990 and 2015, a reduction of approximately 35.65%. The M/F ratio was 2.03:1 with an annual percent change of −2.38% and −1.37% for women and men, respectively. The annual self-harm mortality rate was higher among individuals aged 15–24 years, as well as it was more in men during the study period. Conclusion: Mortality from self-harm has declined over the study period in Iran. Higher rates in men and in population aged 15–24 years, with considerable variation by province, were the distinguishing features of self-harm. Iran needs to improve monitoring through a comprehensive multisectoral strategy; and most importantly, provide timely, effective and low-cost preventive interventions. © 2020 The Royal Society for Public Health
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