Milad Nazarzadeh1, Zeinab Bidel1, Mehdi Ranjbaran2, Roholla Hemmati3, Akbar Pejhan4, Khairollah Asadollahi5, Kourosh Sayehmiri6. 1. The Collaboration Center of Meta-analysis Research (ccMETA), Iranian Research Center on Healthy Aging, Sabzevar University of Medical Sciences, Sabzevar, Iran. 2. Arak University of Medical Sciences, Arak, Iran. 3. Department of Cardiology, Faculty of Medicine, Ilam University of Medical Sciences, Ilam, Iran. 4. Sabzevar University of Medical Sciences, Sabzevar, Iran. 5. 6)Psychosocial Injuries Research Center, Ilam University of Medical Sciences, Ilam, Iran. 7)Department of Social Medicine, Faculty of Medicine, Ilam University of Medical Sciences, Ilam, Iran. 6. 8)Psychosocial Injuries Research Center, Ilam University of Medical Sciences, Ilam, Iran. 9)Department of Social Medicine, Faculty of Medicine, Ilam University of Medical Sciences, Ilam, Iran.
Abstract
BACKGROUND AND OBJECTIVES: This paper aimed to study the epidemiology of suicide and causes related to fatal suicide in Ilam province, west of Iran. METHODS: All data related to attempted suicide and fatal suicide during 2011-2012 were extracted from the suicide registry of authorized directorates in Ilam Province, Iran. Risk factors for fatal suicide were evaluated using logistic regression modeling and discrimination of model assessed using ROC curve. RESULTS: A total of 1537 registered cases were analyzed, among which 130 were recorded as fatal suicides (1227 attempted suicides). Overall, 805 (52.4%) cases were female, 9.2% had a history of suicide, 59.3% were married and 63.3% of cases were aged under 24 years. The most common suicide method was overdose of medications (75.5%). In multivariable analysis, male gender (OR: 0.50; CI 95% 0.25 to 0.99) and higher education (OR: 0.36; CI 95% 0.20 to 0.65) were protective factors and application of physical methods (OR: 11.61; 95% CI 5.40 to 24.95) was a risk factor for fatal suicide. CONCLUSIONS: Female gender, low education level and use of physical methods of suicide were revealed as risk factors of fatal suicide. We suggest population based case-control studies based on the suicide registry data for further assessing the risk factors of suicide in Ilam.
BACKGROUND AND OBJECTIVES: This paper aimed to study the epidemiology of suicide and causes related to fatal suicide in Ilam province, west of Iran. METHODS: All data related to attempted suicide and fatal suicide during 2011-2012 were extracted from the suicide registry of authorized directorates in Ilam Province, Iran. Risk factors for fatal suicide were evaluated using logistic regression modeling and discrimination of model assessed using ROC curve. RESULTS: A total of 1537 registered cases were analyzed, among which 130 were recorded as fatal suicides (1227 attempted suicides). Overall, 805 (52.4%) cases were female, 9.2% had a history of suicide, 59.3% were married and 63.3% of cases were aged under 24 years. The most common suicide method was overdose of medications (75.5%). In multivariable analysis, male gender (OR: 0.50; CI 95% 0.25 to 0.99) and higher education (OR: 0.36; CI 95% 0.20 to 0.65) were protective factors and application of physical methods (OR: 11.61; 95% CI 5.40 to 24.95) was a risk factor for fatal suicide. CONCLUSIONS: Female gender, low education level and use of physical methods of suicide were revealed as risk factors of fatal suicide. We suggest population based case-control studies based on the suicide registry data for further assessing the risk factors of suicide in Ilam.