Time Trends and Predictions of Suicide Mortality for People Aged 70 Years and Over From 1990 to 2030 Based on the Global Burden of Disease Study 2017

He, Jing; Ouyang, Feiyun; Qiu, Dan; Li, Ling; Li, Yilu; Xiao, Shuiyuan

doi:10.3389/fpsyt.2021.721343

Cited by 9 publications

(12 citation statements)

References 67 publications

(109 reference statements)

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“…Broadly, the general methodological limitations of the GBD data have been published elsewhere [ 11 ]. Although this study provided a comprehensive disease burden based on the estimates from the GBD study, a major limitation is that the data from the GBD study, especially for low-income countries, including North Korea, is influenced by the quality of the primary data [ 33 ]. Since large uncertainties surround the estimates of disease burden in North Korea, the interpretation of comparisons within or between countries should always be performed with caution.…”

Section: Discussionmentioning

confidence: 99%

Trends and patterns of North Korea’s disease burden from 1990 to 2019: Results from Global Burden of Disease study 2019

et al. 2022

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Background Evidence for the trends and patterns of disease burden in North Korea is limited, and in-depth analysis based on several health outcomes for a better understanding remains challenging. Therefore, we aimed to investigate the trends and patterns of disease burden in North Korea between 1990 and 2019. Methods We used data from the Global Burden of Diseases (GBD) 2019 study to analyze the North Korean disease burden in comparison with four groups: global, South Korea, low-sociodemographic index (SDI) countries, Central and Eastern Europe, and Central Asia (former socialist countries). We also examined changes in the disease burden between 1990 and 2019 by disease category and age group. Findings In 2019, in North Korea, death rates and disability-adjusted life years (DALYs) rates were reduced by 22.2% and 30.7%, respectively, compared to 1990. The rates showed similar trends and patterns to that in former socialist countries. However, these reductions were lower than those of the global rates and rates in low-SDI countries and South Korea. Death rates and DALY rates for under five years dramatically decreased by more than 78%, similar to the trend in South Korea. In contrast, the decline in the death rates and DALY rates of adults was less than those worldwide and in low-SDI countries and South Korea. The burden of diseases among those aged ≥30 years increased largely due to the persistently high burden of non-communicable diseases (NCDs). Cardiovascular diseases, neoplasms, and chronic respiratory diseases were the leading causes of the disease burden in both 1990 and 2019. Interpretation North Korea’s disease burden patterns and trends show clear improvements over the past 30 years but suggest that the current challenges of NCDs in the country are very serious. NCDs should be no longer neglected and should be prioritized in public health agendas in North Korea.

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Section: Discussionmentioning

confidence: 99%

Trends and patterns of North Korea’s disease burden from 1990 to 2019: Results from Global Burden of Disease study 2019

et al. 2022

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“…The global trend for suicides among the elderly has shown a mixed trend [4,34]. South Korea showed a decreasing trend of suicide by 5.5% (2010-2016) possibly through the implementation of a national suicide prevention policy with 5.6% (95% CI 4.4%,6.9%) from 1993-2010 [31],.…”

Section: Discussionmentioning

confidence: 99%

“…Hence, this registry had the most comprehensive database in the country. In this study, the data extracted from NRD was recorded using the International Classification of Disease, 10 th edition (ICD-10) codes X60-84 as the classification of deaths due to suicide [4]. The retrieved data for all elderly as defined by the elderly policy in the country as an elderly aged 60 years and above [16].…”

Section: Data Sourcementioning

confidence: 99%

“…As the elderly continues to become the fastest growing population segment compared to other age groups, they have a higher rate of suicide [3]. In Asia Pacific region, Japan and South Korea had the higest mortality rate of suicide among elderly [4] In Malaysia, the number of aging populations continues to grow with increasing trends from 5.2% in 1970, 5.7% in 1990, and 6.3% by 2000 [5] Click or tap here to enter text. and 10.3% of the elderly population in 2019 [6] Click or tap here to enter text.. By 2030, Malaysia will be deemed as a super-aged population as projected [7], whereby 20% of the population will be 65 years old [8] The earliest publication on the suicide trend in Malaysia looked at 1966-1990 [9,3], highlighting the misclassification or error of suicide reporting.…”

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confidence: 99%

“…Many methods of analysis were done to observe the trend of elderly suicide. Joint-point regression analysis was done coupled with age-standardized analysis in several studies [4,12,13], while the Brazilian study used Poisson regression to assess temporal trends [14], and the Iranian study utilized Cochrane-Armitage to evaluate trend changes [15]. This study used National Registry data for 26 years from 1995-2020.…”

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confidence: 99%

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Trends of completed suicide rates among Malaysian elderly between 1995 and 2020

et al. 2023

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Background Suicide among the elderly has become a global public health concern. This study was carried out to determine the trend of completed suicide rates according to age, sex, and ethnicity and the suicidal methods among the elderly in Malaysia. Methods All suicide-related deaths in elderly aged 60 years and above from the Year 1995 to 2020 reported to the National Registration Department (NRD) were analyzed. Causes of death for suicide were coded based on the International Statistical Classification of Diseases and Related Health Problems, 10th Revision (ICD-10). The completed suicide rate was calculated by dividing the completed suicide number by the total elderly population for the respective year. Results Overall, the analysis of 1,600 suicide-related deaths was investigated over 26 years. Male was seen to be correlated with higher suicidal risk, with a male–female relative risk (RR) = 1.89 (95%CI:1.46,2.45). The risk of suicide was also found to be significantly higher for those aged 60 to 74 years old and Chinese, with RR = 4.26 (95%CI:2.94, 6.18) and RR = 5.81 (95%CI: 3.70, 9.12), respectively. Hanging was found to be a statistically significant suicide method (IRR:4.76, 95%CI:2.34,9.65) as compared to pesticide poisoning. The completed suicide rate was fluctuating over the years. Conclusions In conclusion, it is believed that Malaysia's elderly suicide rate has reached an alarmingly high incidence. By identifying the crucial criteria of sociodemographic factors, the government and responsible agencies have the essential and additional information to put together a more effective strategy and approach to overcome the issue in the future.

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Facilitators and barriers to implementation of suicide prevention interventions: Scoping review

Kasal¹,

Táborská²,

Juríková³

et al. 2023

Camb. prisms Glob. ment. health

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We know that suicide is preventable, yet hundreds of thousands of people still die due to suicide every year. Many interventions were proven to be effective, and dozens of others showed promising results. However, translating these interventions into new settings brings several challenges. One of the crucial obstacles to success is not anticipating possible barriers to implementation nor enhancing possible benefits of factors facilitating the implementation. While we witnessed great support for suicide prevention activities globally in the past years, implementation barriers and facilitating factors are yet to be comprehensively mapped to help implementation activities worldwide. This scoping review maps current knowledge on facilitators and barriers to the implementation of suicide prevention interventions while using the Consolidated Framework for Implementation Research (CFIR) for classification. We included 64 studies. Barriers and facilitators were most commonly identified in the outer setting CFIR domain, namely in the sub-domain of patient needs and resources, which refers to the way in which these needs and resources are reflected by the reviewed interventions. The second most saturated CFIR domain for facilitators was intervention characteristics, where relative advantage, adaptability and cost of intervention sub-domains were equally represented. These sub-domains refer mostly to how the intervention is perceived by key stakeholders, to what extent it can be tailored to the implementation context and how much it costs. While intervention characteristics domain was the second most common also for barriers, the complexity sub-domain referring to high perceived difficulty of implementation was the most frequently represented. With reference to the results, we recommend adapting interventions to the needs of the target groups. Furthermore, carefully selecting the intervention to suit the target context concerning their adaptability, costs and complexity is vital for a successful implementation. Further implications for practice and research are discussed.

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Time Trends and Predictions of Suicide Mortality for People Aged 70 Years and Over From 1990 to 2030 Based on the Global Burden of Disease Study 2017

Cited by 9 publications

References 67 publications

Trends and patterns of North Korea’s disease burden from 1990 to 2019: Results from Global Burden of Disease study 2019

Trends and patterns of North Korea’s disease burden from 1990 to 2019: Results from Global Burden of Disease study 2019

Trends of completed suicide rates among Malaysian elderly between 1995 and 2020

Facilitators and barriers to implementation of suicide prevention interventions: Scoping review

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