A longitudinal study of suicide and suicide attempt in northwest of Iran: incidence, predictors, and socioeconomic status and the role of sociocultural status

Fakhari, Ali; Farahbakhsh, Mostafa; Esmaeili, Elham Davtalab; Azizi, Hosein

doi:10.1186/s12889-021-11527-9

Cited by 32 publications

(25 citation statements)

References 35 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…These findings highlight the need to consider a wide range of contextual and sociocultural factors on suicide prevention strategies suggested in the community-based studies, at least in Iran [ 53 ].…”

Section: Discussionmentioning

confidence: 99%

Early marriage, stressful life events and risk of suicide and suicide attempt: a case–control study in Iran

et al. 2022

Self Cite

View full text Add to dashboard Cite

Background Early Marriage (EM) and associated Stressful Life Events (SLEs) and consequences such as psychological and physical well-being issues can lead to suicide and suicide attempts (SA). The study aimed to investigate the risk of suicide and SA among early married people who experienced SLEs. Methods A case–control study was conducted based on the registry for suicide in Malekan county in Iran during 2016–18. Cases included 154 SAs and 32 suicides. Simultaneously, 201 outpatients from the emergency department were chosen as controls. Holms and Rahe life event questionnaire was used to assess SLEs. Sub-group analysis (Mantel–Haenszel) by sex and age groups and multiple logistic regression were used to calculate adjusted Odds Ratios (ORs) with 95% Confidence Intervals (CIs) for the association between EM and suicide risk after adjusting for the potential confounders. Results The proportion (female vs male) of EM among suicides, controls, and SAs was 31.25% (18.7 vs 12.5%), 15.92% (11.9 vs 4.0%), and 13.0% (11.7 vs 1.3%), respectively. In subgroup analyses by sex, EM was associated with an increased risk of suicide in both females and males 2.64 and 2.36 times, respectively. Likewise, subgroup analysis by age groups revealed that EM increased suicide risk in subjects aged 10–15 years, while no association was found for age groups of 26–40 and > 40. After adjusting for the potential confounders, EM (OR: 3.01; 95% CI: 1.15 -7.29), financial problems (OR = 4.50; 95% CI: 1.83 -9.07), and family problems (OR = 2.60; 95% CI: 1.19—9.59), were associated with an increased risk of suicide. However, no association was found between EM, various types of SLEs, and the risk of SA. Conclusions We found EM and SLEs were correlated with suicide risk, while no evidence found that EM increased the risk of SA. Progress in reducing EM and addressing its serious consequences can occur by a stronger political commitment and by sharing the experiences and voices of the early married. Our study provided preliminary findings to guide future studies; however, methodological and longitudinal studies are needed to understand and address the effect of EM on suicidal behaviors.

show abstract

Section: Discussionmentioning

confidence: 99%

Early marriage, stressful life events and risk of suicide and suicide attempt: a case–control study in Iran

et al. 2022

Self Cite

View full text Add to dashboard Cite

show abstract

“…In Iran, the prevalence of MDD was estimated at 4.1% (3.1-5.1), in a systematic review and meta-analysis [42]. An increase in the prevalence of depressive symptoms can elevate the probability of suicidal behaviors and suicide re-attempt [43][44][45][46].…”

Section: Discussionmentioning

confidence: 99%

Psychological adverse effects of COVID-19 pandemic on health service providers: an online survey

Somi

Fakhari

Azizi

et al. 2022

Middle East Curr Psychiatry

View full text Add to dashboard Cite

Background In the current situation of the COVID-19 pandemic, health service providers (HCPs) suffered from mental health consequences such as depression, anxiety, fear, and post-traumatic stress disorder (PTSD). The study aimed to evaluate the adverse psychological impacts of the COVID-19 pandemic on HSPs at the Tabriz University of Medical Science, North West of Iran. An online survey was conducted to assess the psychological adverse effects of COVID-19 during the pandemic of COVID-19 from May 2021 to February 2022. Psychological adverse effects including depression, anxiety, PTSD, and fear were measured using valid instruments. Overall, 298 HSPs responded to the questionnaires. Descriptive and multiple logistic regression analyses with crude and adjusted ORs were used to estimate mental health adverse effects. Results The overall prevalence of depressive symptoms, major depression disorder (MDD), anxiety, and probable PTSD were 58%, 9.1%, 61.7%, and 15%, respectively. The fear of COVID-19 scale (mean) was 17.6± 6.2. We found mental health adverse effects were higher in HSPs who worked in the treatment and health sections than HSPs in the support section. Having a history of mental disorder, HSP type (health and treatment), and female sex had a statistically significant association with MDD and depressive symptoms. Conclusions Mental health problems were high in HSPs. The study highlights the demand for support systems and appropriate interventions for improving HSPs’ mental health and well-being during the COVID-19 pandemic.

show abstract

“…Depression is a major predictor of suicide. [ 24 ] Awareness of predictors for suicide in depression is imperative for health care systems. [ 25 ] Previous evidence indicated that antidepressants have a positive effect on suicide prevention.…”

Section: Discussionmentioning

confidence: 99%

Effective Programs on Suicide Prevention

Azizi

Fakhari

Farahbakhsh

et al. 2022

International Journal of Preventive Medicine

Self Cite

View full text Add to dashboard Cite

Background: Health managers often do not have adequate information for decision making on what strategy makes an effective impact on suicide prevention. Despite the availability of global Suicide Prevention Programs (SPP), no previous investigation has developed combinations of a review study with expert opinions. This study was aimed to identify effective programs for suicide prevention. Methods: We used two methods for selecting the effective SPP. (1) review of systematic reviews: we systematically searched to find relevant review studies through Medline, Cochrane Library, PsycINFO, and gray literatures. (2) Expert panel opinions: effective programs identified from the previous step were combined with expert views via the Hanlon method. Results: A total of 27 since some of them were reports met the inclusion criteria. After full-text screening 9 records included. We found the following 12 SPP for prioritizing and rating the most effective interventions by an expert panel: (1) case management of Suicide Attempters (SAs), (2) identification and treatment of depression, (3) registry for suicide, (4) identifying local determinants of Suicidal behavior (SB), (5) public awareness campaigns, (6) gatekeepers’ training, (7) conducting research, (8) school-based training, (9) improving knowledge and attitudes, (10) restricting access to means, (11) at-risk people screening, (12) mass media. Conclusions: Seven effective SPP identified after combined 12 included interventions with expert panel opinion: (1) Case management of SAs, (2) Identification and treatment of depression, (3) Improving a registry for suicide, (4) Identifying local determinants of SB, (5) Public awareness campaigns, (6) Training gatekeepers, and (7) Conducting research.

show abstract

A longitudinal study of suicide and suicide attempt in northwest of Iran: incidence, predictors, and socioeconomic status and the role of sociocultural status

Cited by 32 publications

References 35 publications

Early marriage, stressful life events and risk of suicide and suicide attempt: a case–control study in Iran

Early marriage, stressful life events and risk of suicide and suicide attempt: a case–control study in Iran

Psychological adverse effects of COVID-19 pandemic on health service providers: an online survey

Effective Programs on Suicide Prevention

Contact Info

Product

Resources

About