بررسي ويژگي هاي جمعيت شناختي 1217 مورد اقدام به خودكشي در استان سمنان

Epidemiologic study of 1217 suicide attempts in Semnan province

ﺳﺎﺑﻘﻪ و ﻫﺪف: ﺧﻮدﮐﺸﯽ ﯾﮑﯽ از ﻣﺸﮑﻼت ﻣﻬﻢ اﺟﺘﻤﺎﻋﯽ و ﺑﻬﺪاﺷﺖ رواﻧﯽ ﺑﺴﯿﺎري از ﮐﺸﻮرﻫﺎ ﺑﻪ ﺣﺴﺎب ﻣﯽ آﯾـﺪ و ﻣﻨﺎﺑﻊ ﻗﺎﺑﻞ ﺗﻮﺟﻬﯽ را در ﻣﺠﻤﻮﻋﻪ ﻣﺮاﻗﺒﺖ ﻫﺎي ﺑﻬﺪاﺷﺘﯽ ﺑﻪ ﺧﻮد اﺧﺘﺼﺎص داده اﺳـﺖ. ﻫـﺪف از اﯾـ ﻦ ﻣﻄﺎﻟﻌـﻪ ﺑﺮرﺳﯽ وﯾﮋﮔﯽ ﻫﺎي ﺟﻤﻌﯿﺖ ﺷﻨﺎﺧﺘﯽ ﺑﯿﺶ از ﻫﺰار ﻣﻮرد اﻗﺪام ﺑﻪ ﺧﻮدﮐﺸﯽ در اﺳﺘﺎن ﺳﻤﻨﺎن ﻣﯽ ﺑﺎﺷﺪ. ﻣﻮاد و روش ﻫﺎ: در اﯾﻦ ﻣﻄﺎﻟﻌﻪ ﻣﻘﻄﻌﯽ، اﻃﻼﻋﺎت ﮐﻠﯿﻪ ﻣﻮارد اﻗﺪام ﺑﻪ ﺧﻮدﮐﺸﯽ ارﺟﺎع داده ﺷﺪه ﺑﻪ ﺑﯿﻤﺎرﺳﺘﺎن ﻫـﺎ ي دوﻟﺘﯽ و ﭘﺰﺷﮑﯽ ﻗﺎﻧﻮﻧﯽ اﺳﺘﺎن ﺳﻤﻨﺎن در ﺳﺎل 1387-88 ﺑﺎ اﺳﺘﻔﺎده از ﻓﺮم ﻫﺎي آﻣﺎري ﺧﻮدﮐﺸﯽ و ﺑﺮ اﺳﺎس اﻃﻼﻋـﺎت دﻣﻮﮔﺮاﻓﯿﮏ و ﻋﻮاﻣﻞ ﻣﺮﺗﺒﻂ ﺑﺎ ﺧﻮدﮐﺸﯽ (روش ﻫﺎي ﺧﻮدﮐﺸﯽ، ﺑﯿﻤﺎري ﻫﺎي ﺟﺴﻤﯽ و رواﻧﯽ زﻣﯿﻨﻪاي) ﻣﻮرد ﺑﺮرﺳﯽ ﻗﺮار ﮔﺮﻓﺖ. ﯾﺎﻓﺘﻪ ﻫﺎ: از 1217 ﻣﻮرد اﻗﺪام ﺑﻪ ﺧﻮدﮐﺸﯽ، 768 ﻣﻮرد)63/1% (ﻣﻮﻧﺚ و ﻣﺎﺑﻘﯽ ﻣﺬﮐﺮ و ﺑﺎ ﻣﯿـﺎﻧﮕﯿﻦ سني ± اﻧﺤـﺮاف ﻣﻌﯿﺎر، 24/63±8/48 ﺑﻮده اﺳﺖ. 599 ﻣﻮرد) %49/22 (ﻣﺠﺮد و ﻣﺎﺑﻘﯽ ﻣﺘﺎﻫﻞ ﺑﻮده اﻧﺪ. ﻏﺎﻟﺐ اﻓﺮاد ﻣﺬﮐﺮ، ﻣﺠﺮد) %60/8 (و ﻏﺎﻟﺐ اﻓﺮاد ﻣﻮﻧﺚ، ﻣﺘﺎﻫﻞ) %56/12 (ﺑﻮده اﻧﺪ) 0/001

Introduction: Suicide is one of the important social and mental health problems in many countries and considerable resources are devoted to health care. The purpose of this study was to investigate the demographic features of more than thousand cases of attempted suicide in Semnan province Materials and Methods: In this cross sectional study in 2008-2009, we collected data from cases referred to public hospitals and forensic medicine offices of Semnan province, using researcher made checklists, included demographic data and factors associated with suicide. Results: Among 1217 cases of suicide attempts occurred in Semnan province, 768 cases (63.1%) were female and the rest were male. The mean age±SD of participants was 24.6±8.4. 599 cases (49.2%) were single. There was a significant relationship between gender and marital status (p<0.001) in a way that most of the male cases were single (60.8%) and most females were married (56.1%). The most common methods of suicide was drug toxicity (83.98%) and poison or opium overdose (7.1%). Totally, 1.6% of suicide attempts led to death which was significantly higher in men than in women (p<0.001). Conclusion: Since drug poisoning is the most common method of suicide, officials should ensure that drugs are offered only on prescriptions and physicians should avoid prescribing excessive drugs. Trying to identify high risk groups, providing education requirements, planning for employment and reducing the economic problems in young age group, is suggested.