Investigating the related factors on suicide methods and suicide attempts in Yazd, Iran

Document Type : Research Paper

Authors

1 Medical student. Department of Psychiatry, Islamic Azad University, Yazd Branch, Yazd, Iran

2 Assistant professor of legal medicine. Department of Toxicology and Legal Medicine, Islamic Azad University, Ali-Ibne-Abitaleb Unit, Yazd, Iran

3 Assistant professor of psychiatry. Psychiatry and Behavioral Sciences Research Center, Mashhad University of Medical Sciences, Mashhad, Iran

4 Professor of psychiatry. Research Center of Addiction and Behavioral Sciences, Shahid Sadoughi University of Medical Sciences, Yazd, Iran

5 Assistant professor of legal medicine. Legal medicine Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, Iran

Abstract

Introduction: Suicide is a global health concern with a growing prevalence in most countries including Iran. The increasing rate of suicide despite the suicide prevention programs indicates the need for evaluation of the effective factors on suicide attempts. Therefore, the present study aimed to evaluate the relationship between different risk factors including age, gender, addiction, mood of residence, marital status, history of psychiatric illnesses, history of suicide attempts in the patient and the family, time and season of suicide attempt, and methods of suicide in Yazd province in Iran.
Material and Methods: The present cross-sectional study conducted in educational Hospitals of Yazd and Legal Medical Organization of Yazd city between June 2018- June 2019. Every individual with complete suicide attempts enrolled. The medical records of these individuals were documented and the relationship between the method of suicide and demographic factors were evaluated.
Results: Sixty individuals with the mean age of 37.43 years enrolled in the present study and most of them were female (68.3%). Major part of the individuals had a history of suicide attempts (54.5%) and most of the suicides occurred during nights (42.4%). Moreover, most of the complete attempts occurred in summer (46.7%), and hanging (55%) was the most common type of suicide attempt. Only the gender was significantly correlated with the method of suicide (P=0.001).
Conclusion: The present study demonstrated that most of the suicides committed by females and self-hanging were the most common method of suicide. The gender was the only factor related to the method of suicide.

Keywords


1. Naghavi M. Global, regional, and national burden of suicide mortality 1990 to 2016: systematic analysis for the
global burden of disease study 2016. BMJ 2019; 364: l94.
2. Mirhashemi S, Motamedi MHK, Mirhashemi AH, Taghipour H, Danial Z. Suicide in Iran. The Lancet 2016;
387(10013): 29.
3. Shirazi H, Hosseini M, Zoladl M, Malekzadeh M, Momeninejad M, Noorian K, et al. Suicide in the Islamic
Republic of Iran: an integrated analysis from 1981 to 2007. EMHJ-Eastern Mediterranean Health Journal 2012; 18(6):
607-13.
4. Nazarzadeh M, Bidel Z, Ayubi E, Asadollahi K, Carson KV, Sayehmiri K. Determination of the social related
factors of suicide in Iran: a systematic review and meta-analysis. BMC Public Health 2013; 13(1): 1-9.
5. Mahdavi SA, Rezaeian S, Rostami M. Profile of fatal suicide in Iran: A report from the Iranian forensic medicine
between 2016 and 2018. Acta Medica Iranica 2020; 58(10): 508-12.
6. Mohammadi AA, Karoobi M, Erfani A, Shahriarirad R, Ranjbar K, Zardosht M, et al. Suicide by self-immolation
in southern Iran: an epidemiological study. BMC Public Health 2020; 20(1): 1646.
7. Zamani M, Zamani V. Suicidal behavior in Iran: what should be done? J Relig Health 2020; 59(1): 503-4.
8. Khosravi S, Jalali A, Jalali R, Salari N, Alikhani M. Personality traits, psychological needs, and social support
among suicide attempters. Omega (Westport) 2020: 0030222820921017.
9. Razai D, Ghadirzadeh MR, Mahdavi SA, Hasani J, Hashemi Nazari SS. The suicide rate in the elderly population
of iran between 2008 and 2014. J Res Health Sci 2020; 20(1): e00471.
10. Farahbakhsh M, Fakhari A, Davtalab Esmaeili E, Azizi H, Mizapour M, Asl RahimiL V, et al. The role and
comparison of stressful life events in suicide and suicide attempt: a descriptive-analytical study. Iran J Psychiatry
Behav Sci 2020; 14(2): e96051.
11. Teo DCL, Duchonova K, Kariman S, Ng J. Religion, spirituality, belief systems and suicide. Suicide by selfimmolation. United Kingdom:Springer; 2021: 183-200.
12. Balvardi M, Imani-Goghary Z, Babaee K, Izadabadi Z. Suicide and attempted suicide epidemiology in sirjan in
2018. Int J High Risk Behav Addict 2021; 10(2): e108648.
13. Bazrafshan M-R, Delam H. The factors influencing suicide attempts among adolescents: A review article.
J Health Sci Surveill Syst 2020; 8(1): 10-15.
14. Rezaeian M, Khan MM. Suicide prevention in the Eastern Mediterranean region. Crisis 2020; 41(S1): S72.
15. Sharif Nia H, Heidari M, Naghavi N, Lehto RH, Haghdoost AA, Jafari-Koulaee A, et al. Age changes and suicidal
activity in iran over the past decade: a systematic review and meta-analysis. Omega (Westport) 2020:
30222820966934.
16. Hajebi A, Ahmadzad-Asl M, Davoudi F, Ghayyomi R. Trend of suicide in iran during 2009 to 2012:
epidemiological evidences from national suicide registration. Iran J Psychiatry Behav Sci 2016; 10(4): e4398.
17. Vijayuakumar L, Pirkis J, Huong TT, Yip P, Seneviratne RDA, Hendin H. Socio-economic, cultural and
religious factors affecting suicide prevention in Asia. In: Hendin H, Phillips MR, Vijayakumar L, Pirkis J, Wang H,
Yip P, et al. (editors). Suicide and suicide prevention in Asia. Geneva, Switzerland: World Health Organization: 19-
29.
18. Daliri S, Rostami C, Sayehmiri K, Karimi A, Delpisheh A. [Causes and attempts methods of suicide in the iranian
pepole during 2001-2014: a systematic review and meta-analysis study]. Koomesh 2018; 20(3): 417-24. (Persian)
19. Razaeian M, Sharifirad G. [Case fatality rates of different suicide methods within Ilam province of Iran]. Journal
of education and health promotion 2012; 1: 44. (Persian)
20. Shojaei A, Moradi S, Alaeddini F, Khodadoost M, Barzegar A, Khademi A. Association between suicide method,
and gender, age, and education level in Iran over 2006-2010. Asia Pac Psychiatry 2014; 6(1): 18-22.
21. Tsirigotis K, Gruszczynski W, Tsirigotis M. Gender differentiation in methods of suicide attempts. Med Sci Monit
2011; 17(8): Ph65-70.
22. Freeman A, Mergl R, Kohls E, Székely A, Gusmao R, Arensman E, et al. A cross-national study on gender
differences in suicide intent. BMC Psychiatry 2017; 17(1): 234.